MR. Kent Alan Fair, CRNA

NPI #1952321879 in Mount Vernon, Illinois

Provider Information

NPI Number
1952321879
Entity Type
Individual
Name
MR. Kent Alan Fair, CRNA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Jul 21, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1011 WILSHIRE DR
ZIP Code
62864-2743
Phone
(618) 242-4150

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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