KENNETH MICHAEL STAVRAKAS

CHARLOTTE, NC
NPI1699713313
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NC  065707)
Enumeration Date2006-06-03
Last Update Date2010-08-09
Business Address
-- KENNETH MICHAEL STAVRAKAS CRNA
1000 BLYTHE BLVD
CHARLOTTE, NC 28203-5812
Phone number: 704-355-8983
Mailing Address
-- KENNETH MICHAEL STAVRAKAS CRNA
PO BOX 32861 ANESTHESIA SVCS - 5TH FLOOR SURGERY TOWER
CHARLOTTE, NC 28232-2861
Phone number: 704-355-8983
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