Carolyn G Kennis, CRNA is a
Nurse Anesthetist, Certified Registered based in Fountain Valley, California. Carolyn G Kennis is licensed to practice in California (license number 000000NA1535) and her current practice location is
10900 Warner Ave, Suite 101a, Fountain Valley, California. She can be reached at her office (for appointments etc.) via phone at
(714) 698-1270.
NPI number for Carolyn G Kennis is 1255413431 and her current mailing address is 210 N Tustin Ave, Santa Ana, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255413431.
Provider's Profile
Full Name | Carolyn G Kennis |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 10900 Warner Ave, Fountain Valley, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255413431
- Provider Enumeration Date: 10/19/2006
- Last Update Date: 02/03/2015
Medical Identifiers
Medical identifiers for Carolyn G Kennis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255413431 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 000000NA1535 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carolyn G Kennis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Carolyn G Kennis, CRNA 210 N Tustin Ave, Santa Ana, CA 92705-3807 Ph: (714) 347-1000 | Carolyn G Kennis, CRNA 10900 Warner Ave, Suite 101a, Fountain Valley, CA 92708-3846 Ph: (714) 698-1270 |
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