Kenneth Donald Klos JR., CRNA

NPI #1386646115 in Cook, Minnesota

Provider Information

NPI Number
1386646115
Entity Type
Individual
Name
Kenneth Donald Klos JR., CRNA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Aug 11, 2005
Last Updated
Sep 29, 2011

Practice Location

Address
7595 TIMBERLORE TRL
City
Cook
ZIP Code
55723-8728
Phone
(218) 290-4381

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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