Gergely, Kenneth

Gergely, Kenneth is an individual health care provider with primary practice located at 1906 Belleview Ave Se , Roanoke VA 24014-1838. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Gergely, Kenneth can be contacted via phone (540) 981-7000.

Contact Information

Primary practice address
1906 Belleview Ave Se Roanoke VA 24014-1838
Phone: (540) 981-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0001-190814 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0024-166359 Virginia

Profile Details

NPI number 1598721367
LBN Legal business name Gergely, Kenneth
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated May 6th, 2008 - 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 1598721367 NPPES
Virginia MEDICAID 010100186
Virginia MEDICAID 010111331
Virginia MEDICAID 010111391
Virginia MEDICAID 010100160
Virginia MEDICAID 010111358

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