Individual
KENNETH M SCHWALLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2139 AUBURN AVE, CINCINNATI, OH 45219-2906
(513) 585-2000
(513) 612-4479
Mailing address
225 W. MICHIGAN AVENUE, PO BOX 1123, JACKSON, MI 49204-1123
(800) 516-5315
(517) 787-7365
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA.12150
OH
Other
Enumeration date
03/17/2011
Last updated
03/17/2011
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