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NPI Code Detail

MEDICARE: KEITH A YOCH CRNA

MEDICARE: KEITH A YOCH 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
1367500000XCertified Registered Nurse Anesthetist0024103509VA

General Provider Information

NPI Number : 1881682375
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEITH A YOCH CRNA
Provider Business Mailing Address
First Line : 3100 SPRING FOREST RD STE 130
Second Line :
City : RALEIGH
State : NC
Zip : 27616-2880
Country : US
Telephone Number : 919-873-9533
Fax Number : 844-454-0171
Provider Business Practice Location Address
First Line : 8260 ATLEE RD
Second Line :
City : MECHANICSVILLE
State : VA
Zip : 23116-1844
Country : US
Telephone Number : 804-764-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2005
Last Update Date : 11/28/2017

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Directions to “ KEITH A YOCH CRNA” Practice Location

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