Individual provider · Type 1 NPI

Kevin W. Boog, CRNA

Certified Registered Nurse Anesthetist · Providence, RI

NPI number 1306160023 Active

Practice location

593 Eddy Street, Davol 129
Providence, RI 02903-4923

Fax (401) 444-5090

Mailing address

One Virginia Avenue, Suite 201
Providence, RI 02905

Other practice locations

  • 101 Dudley St, Providence, RI 02905-2401 · (401) 453-7950

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000XRNA36713 (RI)

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 1306160023

Kevin W. Boog, CRNA's National Provider Identifier is 1306160023, issued on Mar 24, 2010. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Providence, RI. The record was last updated on Dec 22, 2022.