Kevin D Johnson, CRNA | |
1 E Clark Bass Blvd, Mcalester, OK 74501-4209 | |
(918) 426-1800 | |
(918) 421-8006 |
Full Name | Kevin D Johnson |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1 E Clark Bass Blvd, Mcalester, Oklahoma |
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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1598792327 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | R0032708 (Oklahoma) | Primary |
Entity Name | St. Anthony Shawnee Hospital, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619260411 PECOS PAC ID: 1052567328 Enrollment ID: O20121015000218 |
Mailing Address | Practice Location Address |
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Kevin D Johnson, CRNA 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 Ph: (918) 426-1800 | Kevin D Johnson, CRNA 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 Ph: (918) 426-1800 |
Mr. Clarence Dallas Tarp, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 515 S 7th St, Mcalester, OK 74501 Phone: 870-918-4460 | |
Kristy J Yates, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 E Clark Bass Blvd, Mcalester, OK 74501 Phone: 918-426-1800 Fax: 918-421-8066 | |
Kent Douglas Schmidt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 Kinkead Rd, Mcalester, OK 74501 Phone: 918-916-0574 Fax: 918-423-6095 | |
Mr. Phil Joseph Vilar, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 E Clark Bass Blvd, Mcalester, OK 74501 Phone: 918-426-1800 | |
Mrs. Michelle Renee Mann, APRN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 E Clark Bass Blvd, Mcalester, OK 74501 Phone: 918-426-1800 Fax: 918-748-7688 |