Individual provider · Type 1 NPI

Kenneth Dewey Childers Jr., C.R.N.A.

Certified Registered Nurse Anesthetist · San Francisco, CA

NPI number 1386937993 Active

Practice location

99 W Portal Ave
San Francisco, CA 94127-1303

Mailing address

1314 22nd Ave Unit 22070
San Francisco, CA 94122-1650

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X585519 (CA)

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 1386937993

Kenneth Dewey Childers Jr., C.R.N.A.'s National Provider Identifier is 1386937993, issued on May 16, 2011. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in San Francisco, CA. The record was last updated on Aug 19, 2025.