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Brian Kelly Clark, CRNA
Certified Registered Nurse Anesthetist in Hampton, Virginia
NPI 1821059403

Brian Kelly Clark is a Certified Registered Nurse Anesthetist based in Baltimore, VA. Brian Kelly Clark practices in Hampton, VA and has the professional credentials of CRNA. The NPI Number for Brian Kelly Clark is 1821059403 and holds a License No. 0024165065 (Virginia).

The current practice location address for Brian Kelly Clark is 501 Medical Dr, Hampton, VA and can be reached out via phone at 703-295-9360 and via fax at 703-295-9369. You can also correspond with Brian Kelly Clark through the mailing address at PO BOX 37090, BALTIMORE, MD - 21297-3090 (mailing address contact number: 703-295-9360).

Location: 501 Medical Dr, Hampton, VA, 21297-3090
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821059403
Provider Name
Brian Kelly Clark
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
501 Medical Dr, Hampton, VA, 21297-3090
Phone Number
703-295-9360
Fax Number
703-295-9369
Provider Enumeration Date
03/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010170699 05 VA
institution
Provider Business Practice Location Address Details
Address
501 Medical Dr
City
Hampton
State
Virginia
Zip
23666-6080
Phone Number
703-295-9360
Fax Number
703-295-9369
person
Provider Business Mailing Address Details
Address
Po Box 37090
City
Baltimore
State
Maryland
Zip
21297-3090
Phone Number
703-295-9360
Fax Number
703-295-9369
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
0024165065 (Virginia)
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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