Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY J FIACK, CRNA
ActiveCertified Nurse Anesthetist (CRNA) · BANGOR, ME
Registration Details
- NPI Number
- 1669812111
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 28, 2013 (12.834828651892 yrs)
- Last Updated
- Jun 28, 2013
- License
-
RNA133018 (ME)
Practice Information
- Address
-
489 STATE STBANGOR, ME, 044016616Browse ME providers · Browse ZIP 04401
- Phone
- 2079924032
- Fax
- 2079924034
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
Other Certified Nurse Anesthetist (CRNA) Providers in BANGOR, ME
| Name | Credential | NPI |
|---|---|---|
| MR. STEVEN V BREZNYAK | CRNA | 1205827110 |
| MR. ERIK CARAWAN CLINE | CRNA | 1699751016 |
| GRAHAM WILLIAMS | CRNA | 1780649095 |
| MS. JANE KATHRYN HASLAM | CRNA | 1770535221 |
| DANIEL S GROVES | CRNA | 1184662421 |
| SANDRA G SERPELL | CRNA | 1720017726 |
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.