Lansdell, Kurtis

Lansdell, Kurtis is an individual health care provider with primary practice located at 1114 W Madison Ave , Athens TN 37303-4150. 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. Lansdell, Kurtis can be contacted via phone (423) 745-1411.

Contact Information

Primary practice address
1114 W Madison Ave Athens TN 37303-4150
Phone: (423) 745-1411
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 9548 CRNA Tennessee

Profile Details

NPI number 1932187234
LBN Legal business name Lansdell, Kurtis
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Oct 26th, 2007 - about 18 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 1932187234 NPPES
Tennessee Other P00367529 RR MEDICARE
Tennessee MEDICAID 3624408 RR MEDICARE
Tennessee Other 4129536 RR MEDICARE

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