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Individual

MR. JOHN WARREN KILPATRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
313 MEDITERRANEAN DR, CORPUS CHRISTI, TX 78418-2905
(361) 937-8603
(361) 937-8821
Mailing address
313 MEDITERRANEAN DR, CORPUS CHRISTI, TX 78418-2905
(361) 937-8603
(361) 937-8821

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
513337
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
83757U
BCBSTX
TX
Enumeration date
07/03/2005
Last updated
10/29/2007
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