Individual
KASEY COLBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
9601 BAPTIST HEALTH DR, LITTLE ROCK, AR 72205-6321
(501) 202-2093
(501) 202-6316
Mailing address
11001 EXECUTIVE CENTER DR., LITTLE ROCK, AR 72211
(501) 202-2093
(501) 202-6316
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R093733
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
C003187
AR
Other
Enumeration date
03/25/2017
Last updated
06/14/2017
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