Kezele Anesthetics, P.c.

NPI #1780062588 in Pocatello, Idaho

Provider Information

NPI Number
1780062588
Entity Type
Organization
Organization Name
Kezele Anesthetics, P.c.
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
May 12, 2015
Last Updated
May 12, 2015

Practice Location

Address
285 VISTA DR
State
Idaho
ZIP Code
83201-4987
Phone
(208) 478-1704

Authorized Official

Name
MR. JOHN THOMAS KEZELE III, CRNA
Title
PRESIDENT
Phone
(208) 852-2019

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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