NPI 1780062588

Kezele Anesthetics, P.C.

Organisation Certified Registered Nurse Anesthetist Pocatello, ID

Practice location

Address: 285 Vista Dr, Pocatello, ID 83201-4987
Phone: (208) 478-1704
Mailing address: 104 N Bear River Blfs, Preston, ID 83263-5184

Authorised official

Name: John Thomas Kezele
Title: President
Phone: (208) 852-2019

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence RNA-366A (ID)

Other Nurse Anesthetist, Certified Registered providers in Idaho →

Registry record

NPI: 1780062588
Entity type: Organization
NPI issued: 12 May 2015
Record last updated: 12 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.