Mr Kerry Donn Smith, CRNA | |
1171 W Target Range Rd, Nogales, AZ 85621-2415 | |
(520) 285-3000 | |
Not Available |
Full Name | Mr Kerry Donn Smith |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1171 W Target Range Rd, Nogales, Arizona |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285723700 | NPI | - | NPPES |
128760 | Medicaid | AZ | |
Z144890 | Other | AZ | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN139536 (Arizona) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Kerry Donn Smith, CRNA 2202 N Forbes Blvd, Tucson, AZ 85745-1412 Ph: (520) 872-7536 | Mr Kerry Donn Smith, CRNA 1171 W Target Range Rd, Nogales, AZ 85621-2415 Ph: (520) 285-3000 |
Mr. Stephen A Henefield, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1171 W Target Range Rd, Nogales, AZ 85621 Phone: 520-285-8010 | |
Amos Herr Wilkinson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1171 W Target Range Rd, Nogales, AZ 85621 Phone: 520-285-3000 | |
James Lindsey King, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1209 W Target Range Road, Suite 102, Nogales, AZ 85621 Phone: 520-287-4020 Fax: 520-287-2348 | |
John A. Moore, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1171 W Target Range Rd, Nogales, AZ 85621 Phone: 520-287-4747 | |
Leon Francis Deisering, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1209 W Target Range Road, Suite 102, Nogales, AZ 85621 Phone: 520-287-4020 Fax: 520-287-2348 | |
Carolyn Frances Kenngott, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1171 W Target Range Rd, Nogales, AZ 85621 Phone: 520-285-3000 |