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Mr. Kelly Jonathon Douck, CRNA
Certified Registered Nurse Anesthetist in Wausau, Wisconsin
NPI 1447807086

Kelly Jonathon Douck is a Certified Registered Nurse Anesthetist based in Weston, WI. Kelly Jonathon Douck practices in Wausau, WI and has the professional credentials of CRNA. The NPI Number for Kelly Jonathon Douck is 1447807086 and holds a License No. 127347 (Wisconsin).

The current practice location address for Kelly Jonathon Douck is 333 Pine Ridge Blvd, Wausau, WI and can be reached out via phone at 715-845-5505.

Location: 333 Pine Ridge Blvd, Wausau, WI, 54476-5686
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447807086
Provider Name
Kelly Jonathon Douck
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
333 Pine Ridge Blvd, Wausau, WI, 54476-5686
Phone Number
715-845-5505
Fax Number
Provider Enumeration Date
08/19/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
333 Pine Ridge Blvd
City
Wausau
State
Wisconsin
Zip
54401-4102
Phone Number
715-845-5505
Fax Number
person
Provider Business Mailing Address Details
Address
333 Pine Ridge Blvd
City
Wausau
State
Wisconsin
Zip
54401-4102
Phone Number
715-845-5505
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
127347 (Wisconsin)
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
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