Kim Ellen Walecka I, CRNA
NPI #1053397414 in Dartmouth, Massachusetts
Provider Information
- NPI Number
- 1053397414
- Entity Type
- Individual
- Name
- Kim Ellen Walecka I, CRNA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Dec 19, 2005
- Last Updated
- Oct 12, 2011
Practice Location
- Address
- 228 OLD WESTPORT RD
- City
- Dartmouth
- State
- Massachusetts
- ZIP Code
- 02747-2353
- Phone
- (774) 202-5729
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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Organizations
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|---|---|
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