Organization
EAST LIVERPOOL SPECIALTY ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER WHITEHEAD KEARNS CRNA (PRESIDENT)
(330) 332-9094
Entity
Organization
Contact information
Practice address
15613 PINEVIEW DR, SUITE C, EAST LIVERPOOL, OH 43920-9096
(330) 332-9094
(330) 382-1154
Mailing address
15613 PINEVIEW DR, SUITE C, EAST LIVERPOOL, OH 43920-9096
(330) 332-9094
(330) 382-1154
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
251756
OH
Other
Enumeration date
03/22/2009
Last updated
03/22/2009
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