Kevin J Southway, CRNA
NPI #1407009335 in Mount Clemens, Michigan
Provider Information
- NPI Number
- 1407009335
- Entity Type
- Individual
- Name
- Kevin J Southway, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Oct 23, 2008
- Last Updated
- Oct 23, 2008
Practice Location
- Address
- 1000 HARRINGTON ST
- City
- Mount Clemens
- State
- Michigan
- ZIP Code
- 48043-2920
- Phone
- (586) 493-8747
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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