KENNETH ANTOINE

ATHENS, TX
NPI1548259674
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  649939)
Enumeration Date2005-10-20
Last Update Date2010-04-07
Business Address
-- KENNETH ANTOINE CRNA
510 E CLINTON AVE
ATHENS, TX 75751-3410
Phone number: 903-675-3202
Mailing Address
-- KENNETH ANTOINE CRNA
PO BOX 2127
ATHENS, TX 75751-7127
Phone number: 903-675-3202