Most Relevant Information
Provider Data
| NPI Number: | 1003825803 |
| Provider Name: | KATHY WAYMIRE CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | 190403 |
Most Important Dates
| Enumeration Date: | 08/08/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1 WYOMING ST
DAYTON
OH
454092722
Practice Location Phone/Fax
| Phone: | 8003944445 |
| Fax: |
Provider Mailing Location
804 SCOTT NIXON MEMORIAL DR
AUGUSTA
GA
309072464
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |