Provider Demographics
NPI:1043850282
Name:K2 ANESTHESIA SERVICES A NURSING CORP
Entity type:Organization
Organization Name:K2 ANESTHESIA SERVICES A NURSING CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:D
Authorized Official - Last Name:ALLRED
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:801-699-3962
Mailing Address - Street 1:35 ROSEMEL COURT
Mailing Address - Street 2:
Mailing Address - City:OROVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95966-7725
Mailing Address - Country:US
Mailing Address - Phone:801-699-3962
Mailing Address - Fax:888-770-6360
Practice Address - Street 1:627 W EAST AVENUE
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-7201
Practice Address - Country:US
Practice Address - Phone:530-342-1800
Practice Address - Fax:530-342-1802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-15
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Multi-Specialty
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty