Kneisly, Debra J

Kneisly, Debra J is an individual health care provider with primary practice located at 2525 Court Drive , Gastonia NC 28054. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Kneisly, Debra J can be contacted via phone (704) 834-2000.

Contact Information

Primary practice address
2525 Court Drive Gastonia NC 28054
Phone: (704) 834-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 154189 North Carolina

Profile Details

NPI number 1376585612
LBN Legal business name Kneisly, Debra J
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 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 1376585612 NPPES
North Carolina MEDICAID 8050988
North Carolina MEDICAID NAN467

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