Individual
KENDALL PETER DRIESSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
2 COLUMBIA DR, SUITE A327, TAMPA, FL 33606-3508
(813) 844-4434
(813) 844-4467
Mailing address
18123 REGENTS SQUARE DR, TAMPA, FL 33647-2291
(813) 919-9797
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP1427812
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G2003
BCBS
FL
Enumeration date
12/05/2005
Last updated
07/08/2007
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