Individual
DENNIS KAGODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
101 SIVLEY RD SW, ANESTHESIA, HUNTSVILLE, AL 35801-4421
(256) 265-1000
Mailing address
PO BOX 291, HUNTSVILLE, AL 35804-0291
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-066749
AL
Other
Enumeration date
02/08/2012
Last updated
04/07/2012
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