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

KEVIN DJATCHA

Active

KEVIN DJATCHA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in PROVIDENCE, Rhode Island. NPI 1790521425 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · PROVIDENCE, RI

Registration Details

NPI Number
1790521425
Provider Type
Individual
Gender
Male
NPI Issued
Jul 2, 2024 (2.1325949739071 yrs)
Last Updated
Jan 5, 2026
Licenses
APRN04818 (RI)
112573-23 (NH)
112573-21 (NH)

Practice Information

Address
825 CHALKSTONE AVE
PROVIDENCE, RI, 029084728
Browse RI providers · Browse ZIP 02908
Phone
4014562000
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X
Additional Specialty
Registered Nurse

Other Certified Nurse Anesthetist (CRNA) Providers in PROVIDENCE, RI

Name Credential NPI
PAUL M COSTIGAN CRNA 1366438756
MICHELLE J BRODEUR CRNA 1710964846
ABIGAIL D BAKER CRNA 1982681920
WILLIAM MCCOLL CRNA 1689651549
JOHN DUHAMEL CRNA 1336126226
MARIE A MILLS CRNA 1003894981
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.