| NPI | 1174997753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL T KIMZEY Administrator/Authorized Official 405-602-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2016-12-29 |