| Kevin Queen, RN | |
|
3110 Maccorkle Ave Se, Charleston, WV 25304-1210 | |
| (304) 388-9950 | |
| Not Available |
| Full Name | Kevin Queen |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 5 Years |
| Location | 3110 Maccorkle Ave Se, Charleston, West Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881257962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | 89471 (West Virginia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 104105 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Logan Regional Medical Center | Logan, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Logan Regional Anesthesia Services, Llc | 4183097892 | 9 |
| Entity Name | Northstar Anesthesia Of West Virginia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821448150 PECOS PAC ID: 2668750241 Enrollment ID: O20161102001322 |
| Entity Name | Logan Regional Anesthesia Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033838727 PECOS PAC ID: 4183097892 Enrollment ID: O20230228001826 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Queen, RN 18 Pope Way, South Charleston, WV 25309-2221 Ph: (304) 687-2023 | Kevin Queen, RN 3110 Maccorkle Ave Se, Charleston, WV 25304-1210 Ph: (304) 388-9950 |
Sandra R Miles, CRNA, RN, BSN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 501 Morris St, Charleston, WV 25301 Phone: 304-388-5432 | |
Mrs. Hope Halstead Webb, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Pennsylvania Ave, Charleston, WV 25302 Phone: 304-388-2470 | |
Victoria J Kitts, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3200 Mccorkle Ave Se, Charleston, WV 25304 Phone: 304-388-9556 Fax: 304-388-9582 | |
Meg Adair Jackson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave S. E., Charleston, WV 25304 Phone: 304-388-9556 | |
Tiffany D. Dutton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave Se, Dept. Of Surgery, Charleston, WV 25304 Phone: 304-388-5503 Fax: 304-388-9852 | |
Jennifer D Valdez, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-388-5432 | |
Christopher S Mullins, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-688-0228 |