Individual
MRS. KATHRYN W. WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
301 FISHER ST, KEESLER AFB, MS 39534-2508
(228) 376-6038
Mailing address
301 FISHER ST, KEESLER AFB, MS 39534-2508
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
576449
TX
Other
Enumeration date
09/14/2005
Last updated
08/28/2012
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