NPI 1023444866

Bradley Alan Kirkenir, CRNA

Practitioner Certified Registered Nurse Anesthetist Peoria, IL

Practice location

Address: 7309 N Knoxville Ave, Peoria, IL 61614-2085
Phone: (217) 528-7541
Mailing address: PO Box 19248, Springfield, IL 62794-9248

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 20910728 (IL)

Other Nurse Anesthetist, Certified Registered providers in Illinois →

Registry record

NPI: 1023444866
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Sep 2013
Record last updated: 10 Sep 2024

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.