KEISHA R CHURCH

MEDSTAR MEDICAL GROUP ANESTHESIOLOGY LLC

Dr KEISHA R CHURCH is a female medical professional, specializing in Certified Registered Nurse Anesthetist (crna). She graduated in 2009.

Contact

MEDSTAR MEDICAL GROUP ANESTHESIOLOGY LLC

7503 SURRATTS RD
CLINTON
MD
207353358

Tel: 3018774475

KEISHA R CHURCH Information

Npi 1679801419
Pac Id 3476680083
Professional Enrollment Id I20100429000740
Last Name CHURCH
First Name KEISHA
Middle Name R
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2009
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MEDSTAR MEDICAL GROUP ANESTHESIOLOGY LLC
Group Practice Pac Id 1052678034
Number Of Group Practice Members 388
Line 1 Street Address 7503 SURRATTS RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City CLINTON
State MD
Zip Code 207353358
Phone Number 3018774475
Hospital Affiliation Ccn 1 490050
Hospital Affiliation Lbn 1 VIRGINIA HOSPITAL CENTER
Hospital Affiliation Ccn 2 210062
Hospital Affiliation Lbn 2 MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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