| NPI | 1043883622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER KENNEDY Authorized Official 207-807-9009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2025-09-08 |