Kezele Anesthetics, P.C.
LBN: Kezele Anesthetics, P.C.
Kezele Anesthetics, P.C. is an health care organization with primary practice located at 285 Vista Dr , Pocatello ID 83201-4987. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as the primary health care specialty.
Kezele Anesthetics, P.C. can be contacted via phone (208) 478-1704, or through Kezele, John Thomas via phone (208) 852-2019.
Contact Information
Primary practice address
285 Vista Dr
Pocatello ID 83201-4987
Phone: (208) 478-1704
Fax:
Website:
Authorized official contact:
Name: Kezele, John Thomas Certified Registered Nurse Anesthetist (CRNA)
Phone: (208) 852-2019
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | RNA-366A | Idaho |
Profile Details
| NPI number | 1780062588 |
|---|---|
| LBN Legal business name | Kezele Anesthetics, P.C. |
| DBA Doing business as | |
| Authorized official | Kezele, John Thomas Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 12th, 2015 |
| Last updated | May 12th, 2015 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780062588 | NPPES |
| Idaho | MEDICAID | 0015341 |
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