Individual
MR. KENNETH RAY ELANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
436 N BEDFORD DR, BEVERLY HILLS, CA 90210-4310
(805) 527-5039
(805) 527-5039
Mailing address
651 HUDSPETH ST, SIMI VALLEY, CA 93065-5503
(805) 527-5039
(805) 527-5039
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA439
CA
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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