Active NPIIndividual provider

Keneil Edmond, CRNA

Nurse Anesthetist, Certified Registered in Valhalla, New York

NPI Number1265955363
Practice location
100 Woods RD, Valhalla, NY 10595-1530
Fax
914-493-7927
Last updated
September 14, 2026

Keneil Edmond is a Nurse Anesthetist, Certified Registered based in Valhalla, NY. Keneil Edmond practices in Valhalla, NY and has the professional credentials of CRNA. The NPI Number for Keneil Edmond is 1265955363 and holds a License No. 118587 (CT). The current practice location address for Keneil Edmond is 100 Woods RD, Valhalla, NY 10595-1530 and can be reached out via phone at 914-493-7000 and via fax at 914-493-7927.

Provider Profile Details

NPI Number
1265955363
Provider Name
Keneil Edmond
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
100 Woods RD, Valhalla, NY 10595-1530
Phone Number
914-493-7000
Fax Number
914-493-7927
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
No
Provider Enumeration Date
July 20, 2017
Last Update Date
September 14, 2026
Certification Date
September 14, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Woods RD
Valhalla, NY 10595-1530
Zip
10595-1530
Phone Number
914-493-7000
Fax Number
914-493-7927
Valhalla, NY 10595Get directions →

Provider Business Mailing Address Details

Address
19 Bradhurst Ave Ste 3100N
Hawthorne, NY 10532-2140
City
Hawthorne
State
NY
Zip
10532-2140
Phone Number
914-909-9018
Fax Number
914-909-9028

License Information

License Number (1)
118587
License State (1)
CT
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
7249
License State (2)
CT
Taxonomy (2)
Nurse Anesthetist, Certified Registered · 367500000X · Primary
License Number (3)
604621-1
License State (3)
NY
Taxonomy (3)
Nurse Anesthetist, Certified Registered · 367500000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Keneil Edmond, CRNA?

The NPI number of Keneil Edmond, CRNA is 1265955363. It was assigned on July 20, 2017 and is currently active in the NPPES registry.

What is the specialty of Keneil Edmond, CRNA?

Keneil Edmond, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in CT under license number 118587.

Where does Keneil Edmond, CRNA practice?

The practice location is 100 Woods RD, Valhalla, NY 10595-1530. The office can be reached at 914-493-7000 (phone) or 914-493-7927 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265955363 directly on the NPPES registry website.

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