Garner, Kenneth Dave

Garner, Kenneth Dave is an individual health care provider with primary practice located at 701 N 1St St , Springfield IL 62781-0001. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Garner, Kenneth Dave can be contacted via phone (217) 788-3754.

Contact Information

Primary practice address
701 N 1St St Springfield IL 62781-0001
Phone: (217) 788-3754
Fax: (217) 788-7071
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X Illinois

Profile Details

NPI number 1801863683
LBN Legal business name Garner, Kenneth Dave
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801863683 NPPES
Other 034879 CCNA CERTIFICATION

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