Individual provider · Type 1 NPI

Kelly Jonathon Douck, CRNA

Certified Registered Nurse Anesthetist · Wausau, WI

NPI number 1447807086 Active

Practice location

333 Pine Ridge Blvd
Wausau, WI 54401-4102

Mailing address

3106 Sandgate Ct # 54476
Weston, WI 54476-5686

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X127347 (WI)

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 1447807086

Kelly Jonathon Douck, CRNA's National Provider Identifier is 1447807086, issued on Aug 19, 2019. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Wausau, WI. The record was last updated on Sep 20, 2019.