Individual
MICHAEL EDWARD KIENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403-2149
(707) 393-4000
Mailing address
14050 SOSNA WAY, GUERNEVILLE, CA 95446-9590
(561) 310-8721
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
724033
CA
Other
Enumeration date
06/10/2017
Last updated
06/10/2017
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