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

KENNETH PAUL YEAGER, CRNA

Active

Certified Nurse Anesthetist (CRNA) · CLOVIS, NM

Registration Details

NPI Number
1457353989
Provider Type
Individual
Gender
Male
NPI Issued
Aug 15, 2005 (20.683189997162 yrs)
Last Updated
Apr 4, 2008
Licenses
ARNP2027442 (FL)
R61693 (NM)

Practice Information

Address
2100 N DR MARTIN LUTHER KING JR BLVD
CLOVIS, NM, 881019412
Browse NM providers · Browse ZIP 88101
Phone
5736865550
Fax
5736862139
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

Other Certified Nurse Anesthetist (CRNA) Providers in CLOVIS, NM

Name Credential NPI
MR. RONALD R ROGERS CRNA 1063411734
JOSHUA J WRIGHT CRNA 1467558585
RULON B HOLMAN CRNA 1548569023
MR. RYAN WINDER NORDGREN CRNA 1710224167
WESLY BARTON 1225466014
MR. BRIAN MARLER CRNA 1275996712
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.