Kenneth Forrester in Charlevoix - Nurse Anesthetist, Certified Registered

Kenneth Forrester - NPI 1780772459

Kenneth Forrester is a Nurse Anesthetist, Certified Registered in Charlevoix, Michigan. Kenneth Forrester practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Kenneth Forrester is 1780772459. The last update date is 2007-07-09.

Kenneth Forrester's current location address is 14700 Lake Shore Dr, Charlevoix, Michigan. You can contact this provider via phone number 2315474024 and fax number 2315478088. The mailing address for Kenneth Forrester is 14700 Lake Shore Dr, Charlevoix, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Forrester
Address 14700 Lake Shore Dr, Charlevoix, Michigan
Phone Number 2315474024
Fax Number 2315478088
Sole Proprietor N
Credentials CRNA

NPI Number Detail

NPI Number 1780772459
Provider Enumeration Date 2006-10-10
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 14700 Lake Shore Dr
City Charlevoix
State Michigan (MI)
Post Code 497201931
Phone Number 2315474024
Fax Number 2315478088

Provider's Primary Taxonomy Detail

Speciality Nurse Anesthetist, Certified Registered
Taxonomy 367500000X
Licence No 4704134116
Definition:
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3307404 MI --
KF134116 MI BLUE SHIELD LICENSE NUMBE

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FAQs about Kenneth Forrester

What is the unique 10-digit identification code issued to Kenneth Forrester by the Centers for Medicare & Medicaid Services?

The Kenneth Forrester has been assigned the NPI (National Provider Identifier) 1780772459 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Kenneth Forrester's physical address?

The Kenneth Forrester is physically located at 14700 Lake Shore Dr, in the city of Charlevoix, MI, with the postal code 497201931.

What is Kenneth Forrester's area of expertise and its corresponding taxonomy classification?

The Kenneth Forrester's field of specialization is Nurse Anesthetist, Certified Registered, and it falls under the taxonomy code 367500000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1780772459 to Kenneth Forrester?

The Centers for Medicare & Medicaid Services originally issued the 1780772459 to Kenneth Forrester on 2006-10-10.

When was the Kenneth Forrester's information last updated?

The Kenneth Forrester's information was last updated on 2007-07-09.

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