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Individual

KRIS HAWS

Active
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Individual

KRIS HAWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R077963
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
C002801
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5R847
BLUE CROSS BLUE SHIELD
AR
01
P00822217
RAILROAD MEDICARE
AR
Enumeration date
12/05/2006
Last updated
03/27/2020
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