Individual
KENIA EDMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3873 CORAL TREE CIR, COCONUT CREEK, FL 33073-4438
(561) 827-7058
Mailing address
3873 CORAL TREE CIR, COCONUT CREEK, FL 33073-4438
(561) 827-7058
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
000000
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11012479
FL
367500000X
Certified Registered Nurse Anesthetist
L6-0A10917
DE
Other
Enumeration date
03/10/2021
Last updated
10/02/2023
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