Individual
KENNETH D TOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1144 N ROAD ST, ELIZABETH CITY, NC 27909-3353
(252) 335-0531
Mailing address
113 LAUREL HILLS DR, MORGANTON, NC 28655-2607
(252) 335-0531
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
097675
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8050088
—
NC
Enumeration date
05/17/2006
Last updated
10/03/2007
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