Mr Kimbal W Anderson, CRNA | |
397 Nw Johns Ln, Pendleton, OR 97801-1458 | |
(541) 276-2758 | |
(541) 276-2758 |
Full Name | Mr Kimbal W Anderson |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 397 Nw Johns Ln, Pendleton, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831371558 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 200860001CRNA (Oregon) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | AP 60215085 (Washington) | Secondary |
Entity Name | Anesthesia Associates, Ps |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831143254 PECOS PAC ID: 7214823657 Enrollment ID: O20040224000439 |
Mailing Address | Practice Location Address |
---|---|
Mr Kimbal W Anderson, CRNA Po Box 1185, Pendleton, OR 97801-0150 Ph: (541) 276-2758 | Mr Kimbal W Anderson, CRNA 397 Nw Johns Ln, Pendleton, OR 97801-1458 Ph: (541) 276-2758 |
Mr. William G Harris, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1601 Se Court Ave, Pendleton, OR 97801 Phone: 541-276-5121 | |
Mr. Francis Demers, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1601 Se Court Ave, Pendleton, OR 97221 Phone: 541-276-5121 | |
Nancy L Brown, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1601 Se Court Ave, Pendleton, OR 97801 Phone: 541-276-5121 | |
Mr. Gabriel Richard Garton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2801 St Anthony Way, Pendleton, OR 97801 Phone: 541-278-8183 | |
Amber Lynn Pederson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2801 St Anthony Way, Pendleton, OR 97801 Phone: 541-276-5121 | |
Danny Smith, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1050 Southgate, Pendleton, OR 97801 Phone: 541-276-4752 |