Individual
KEVIN M RHODUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1397 WEIMER RD, TAOS, NM 87571-6253
(575) 758-8883
Mailing address
6 WAPITI LOOP, TAOS, NM 87571-7124
(505) 947-6660
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C-APN.0000892-C-CRNA
CO
367500000X
Certified Registered Nurse Anesthetist
R54743
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10020355
LOVELACE HP
NM
01
—
202000353
PRESBYTERIAN HP
NM
05
—
59332841
—
CO
05
—
956899
—
AZ
05
—
9829750
—
NM
01
—
NM006B15
BCBS
NM
01
—
P00329269
RR MEDICARE
NM
05
—
T0426
—
UT
Enumeration date
02/16/2006
Last updated
03/05/2018
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