| Kevin Michael Innes, CRNA, APRN | |
|
3535 Southern Blvd, Kettering, OH 45429-1221 | |
| (954) 347-4645 | |
| Not Available |
| Full Name | Kevin Michael Innes |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 3535 Southern Blvd, Kettering, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902529852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 0020639 (Ohio) | Primary |
| Entity Name | Sandusky Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770907859 PECOS PAC ID: 3274895271 Enrollment ID: O20180402000752 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Michael Innes, CRNA, APRN 5737 Garrett Dr, Hixson, TN 37343-3656 Ph: (954) 347-4645 | Kevin Michael Innes, CRNA, APRN 3535 Southern Blvd, Kettering, OH 45429-1221 Ph: (954) 347-4645 |
Timberly Deann Harvey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 | |
Brittney A Wallace, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 | |
Christopher A Murray, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 | |
Mr. Patrick Bendel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 | |
Karen Vukin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 | |
Vicki S Dursch, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 | |
Jolynn K Harmon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 |