| NPI | 1477967248 |
|---|---|
| Doing Business As | SENTARA KITTY HAWK |
| Entity Type | Organization |
| Authorized Contact | ROBERT A BROERMANN Sr VP/CFO 757-455-7020 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2014-06-25 |