Individual provider · Type 1 NPI

Timothy Paul Kordick, CRNA

Certified Registered Nurse Anesthetist · Poplar Bluff, MO

NPI number 1174796601 Active

Practice location

2620 N Westwood Blvd
Poplar Bluff, MO 63901-3396

Mailing address

PO Box 88
Poplar Bluff, MO 63902-0088

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X2004031215 (MO)

Certified Registered Nurse Anesthetist: (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 creden…

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About NPI 1174796601

Timothy Paul Kordick, CRNA's National Provider Identifier is 1174796601, issued on Apr 4, 2008. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Poplar Bluff, MO. The record was last updated on Apr 4, 2008.