Healthcare Provider Details

I. General information

NPI: 1336171081
Provider Name (Legal Business Name): KATHY R AKERS CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 02/26/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

122 12TH ST
PRINCETON WV
24740-2312
US

IV. Provider business mailing address

122 12TH ST
PRINCETON WV
24740-2312
US

V. Phone/Fax

Practice location:
  • Phone: 304-487-7000
  • Fax:
Mailing address:
  • Phone: 304-487-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number167614
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRNA233082
License Number StateME
# 3
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN50948
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: