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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KENNETH JAY ROBLES SELERIO, CRNA

Active Sole Proprietor

KENNETH JAY ROBLES SELERIO, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in JOINT BASE LEWIS MCCHORD, Washington. NPI 1174894703 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · JOINT BASE LEWIS MCCHORD, WA

Registration Details

NPI Number
1174894703
Provider Type
Individual
Gender
Male
NPI Issued
Jan 12, 2012 (14.573458255523 yrs)
Last Updated
Feb 20, 2019
License
088127 (TN)
Sole Proprietor
Yes

Practice Information

Address
9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER
JOINT BASE LEWIS MCCHORD, WA, 984312414
Browse WA providers · Browse ZIP 98431
Phone
2539682252
Fax
2539683278
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

Other Certified Nurse Anesthetist (CRNA) Providers in JOINT BASE LEWIS MCCHORD, WA

Name Credential NPI
DONALD VALLIER CRNA 1295187342
JUSTIN RAJALA 1790387520
DR. ZACCHARY SHEPHERD CRNA 1154053700
MARIA SARAH COLE CRNA 1235973470
PETER CUMMINGS CRNA 1942191713
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.