Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. LARRY J KOTEWA, CRNA
Active Sole ProprietorMR. LARRY J KOTEWA, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in PEORIA, Illinois. NPI 1942278130 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · PEORIA, IL
Registration Details
- NPI Number
- 1942278130
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 14, 2006 (20.38370349984 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
124 W WHITEHALL CTPEORIA, IL, 616143032Browse IL providers · Browse ZIP 61614
- Phone
- 3096912607
- Fax
- 3096831003
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
Other Certified Nurse Anesthetist (CRNA) Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| ANN M WILLEMSEN-DUNLAP | CRNA | 1699761726 |
| TIMOTHY JAMES SAMOLITIS | CRNA | 1588651566 |
| DARYL CHENOWETH | CRNA | 1902871312 |
| MR. MICHAEL ERICKSON | CRNA | 1902874696 |
| EMILIE HUBBERT | CRNA | 1285602615 |
| DOLORES MEHOCHKO | CRNA | 1619945748 |
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.