Individual
MR. KEVIN CHARLES JESSEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2900 LAMB CIR, CHRISTIANSBURG, VA 24073-6344
(540) 731-2802
(540) 731-2230
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5352
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
142131
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
0024186898
VA
367500000X
Certified Registered Nurse Anesthetist
13699
TN
Other
Enumeration date
08/07/2008
Last updated
04/05/2023
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