NPI 1023045192

Kevin L Coleman, CRNA

Practitioner Certified Registered Nurse Anesthetist Boise, ID

Practice location

Address: 811 N Liberty St, Boise, ID 83704-8703
Phone: (208) 323-4522
Mailing address: PO Box 4008, Portland, OR 97208-4008

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence RNA305A (ID)

Other Nurse Anesthetist, Certified Registered providers in Idaho →

Registered Nurse

Nursing Service Providers Taxonomy 163W00000X Licence N22476 (ID)

Other Registered Nurse providers in Idaho →

Registry record

NPI: 1023045192
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jun 2006
Record last updated: 20 Nov 2007

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.