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Keith W Green, CRNA
Certified Registered Nurse Anesthetist in Jasper, Indiana
NPI 1508920653

Keith W Green is a Certified Registered Nurse Anesthetist based in Jasper, IN. Keith W Green practices in Jasper, IN and has the professional credentials of CRNA. The NPI Number for Keith W Green is 1508920653 and holds a License No. 9261695 (Indiana).

The current practice location address for Keith W Green is 800 W 9Th St, Jasper, IN and can be reached out via phone at 812-482-0643 and via fax at 812-482-0214.

Location: 800 W 9Th St, Jasper, IN, 47546-8214
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508920653
Provider Name
Keith W Green
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
800 W 9Th St, Jasper, IN, 47546-8214
Phone Number
812-482-0643
Fax Number
812-482-0214
Provider Enumeration Date
12/21/2006
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200157750A 05 IN
28138655 01 IN INDIANA LICENSE
940070020 01 IN MEDICARE PTAN
000000211953 01 IN ANTHEM BC ID
163460047 01 IN MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
800 W 9Th St
City
Jasper
State
Indiana
Zip
47546-2514
Phone Number
812-482-0643
Fax Number
812-482-0214
person
Provider Business Mailing Address Details
Address
800 W 9Th St
City
Jasper
State
Indiana
Zip
47546-2514
Phone Number
812-482-0643
Fax Number
812-482-0214
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
9261695 (Florida)
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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