Healthcare Provider Details

I. General information

NPI: 1407803455
Provider Name (Legal Business Name): KARI J.T. SEARCY CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 03/25/2023
Certification Date: 03/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

365 DILLON RIDGE RD
DILLON CO
80435-6342
US

IV. Provider business mailing address

92 SAW WHISKERS CIR
KEYSTONE CO
80435-7900
US

V. Phone/Fax

Practice location:
  • Phone: 970-470-7170
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRXN.0106527-CRNA
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberR1470493
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: