MEDICARE: KASIA PABIAN CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	C01498	AR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00188127	OTHER	AR	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	5Y049	OTHER	AR	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1013904713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KASIA PABIAN CRNA

Provider Business Mailing Address
First Line	:	2018 N GARFIELD ST
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72207-3406
Country	:	US
Telephone Number	:	501-614-9998
Fax Number	:	501-325-1491

Provider Business Practice Location Address
First Line	:	2018 N GARFIELD ST
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72207-3406
Country	:	US
Telephone Number	:	501-614-9998
Fax Number	:	501-325-1491

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2005
Last Update Date	:	07/10/2008

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Directions to “ KASIA PABIAN CRNA” Practice Location

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