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NPI Code Detail

MEDICARE: DENNIS E KIRST C.R.N.A.

MEDICARE: DENNIS E KIRST C.R.N.A.
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
1367500000XCertified Registered Nurse AnesthetistRN356941LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184627580
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENNIS E KIRST C.R.N.A.
Provider Business Mailing Address
First Line : 100 HOSPITAL AVE
Second Line : PENN HIGHLANDS DUBOIS CRNA'S
City : DU BOIS
State : PA
Zip : 15801-1440
Country : US
Telephone Number : 814-371-2200
Fax Number :
Provider Business Practice Location Address
First Line : 100 HOSPITAL AVE
Second Line : PENN HIGHLANDS DUBOIS CRNA'S
City : DU BOIS
State : PA
Zip : 15801-1440
Country : US
Telephone Number : 814-371-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 01/09/2017

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