| NPI | 1154649218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERN KOSTENKO President 509-308-3126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA ARNP30005024) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2010-05-13 |