Kaleb Killens, CRNA | |
67252 Industry Ln, Covington, LA 70433-8704 | |
(985) 809-9888 | |
Not Available |
Full Name | Kaleb Killens |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 67252 Industry Ln, Covington, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1003677337 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 901888 (Mississippi) | Primary |
Entity Name | Total Anesthesia Care Stph Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669475190 PECOS PAC ID: 0749255909 Enrollment ID: O20040831000877 |
Entity Name | Youngs Professional Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20070226000608 |
Mailing Address | Practice Location Address |
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Kaleb Killens, CRNA 84 B A Kincaid Rd, Poplarville, MS 39470-9790 Ph: () - | Kaleb Killens, CRNA 67252 Industry Ln, Covington, LA 70433-8704 Ph: (985) 809-9888 |
Regina Bourgeois, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1202 S Tyler St, Covington, LA 70433 Phone: 985-898-4000 | |
Christina Pollet, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1202 S Tyler St, Covington, LA 70433 Phone: 985-898-4000 | |
Esteban R Zorrilla, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1202 S Tyler St, Covington, LA 70433 Phone: 985-898-4000 | |
Jason E Bernard, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1202 S Tyler St, Covington, LA 70433 Phone: 985-898-4000 | |
David M Burdett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1202 Styler St, Covington, LA 70433 Phone: 985-898-4000 | |
Joshua Fay, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 95 Judge Tanner Blvd, Covington, LA 70433 Phone: 540-761-7371 |