NPI 1194161158

Katelyn E Longacre, CRNA

Practitioner Certified Registered Nurse Anesthetist Kennesaw, GA

Practice location

Address: 1300 Ridenour Blvd NW STE 300, Kennesaw, GA 30152-4402
Phone: (770) 702-1806
Fax: (770) 693-0810

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence RN311144 (GA)

Other Nurse Anesthetist, Certified Registered providers in Georgia →

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence RN9292268 (FL)

Registry record

NPI: 1194161158
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 May 2013
Record last updated: 8 Dec 2023

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.