NPI 1417902909

Timothy E Kinkade, CRNA

Practitioner Certified Registered Nurse Anesthetist Pella, IA

Practice location

Address: 404 Jefferson St, Pella, IA 50219-1257
Phone: (641) 628-6634
Fax: (913) 381-0979
Mailing address: 8900 Indian Creek Pkwy Suite 500, Overland Park, KS 66210-1554

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 058017 (IA)

Other Nurse Anesthetist, Certified Registered providers in Iowa →

Registry record

NPI: 1417902909
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 May 2006
Record last updated: 2 May 2012

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.