Individual
KENNETH LOGAN GRIFFITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
25 MONUMENT RD STE 270, YORK, PA 17403-5073
(717) 741-8250
(717) 741-8289
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 741-8250
(717) 741-8289
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
R139828
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
TLRN060830
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403934300
—
MD
01
—
R139828
STATE LICENSE
MD
Enumeration date
08/15/2005
Last updated
01/27/2021
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