Kristopher Caleb Pack
Kristopher Caleb Pack is a Certified Registered Nurse Anesthetist (CRNA) in South Charleston, West Virginia. Qualified in 2024, 2 years ago. Practices with Northstar Anesthesia of West Virginia PLLC, a 124-clinician group and accepts Medicare assignment. Licensed in West Virginia.
- Years since qualifying
- 2
- Licensed in
- WV
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
100 Angus E Peyton DrSouth Charleston, WV 25303-1600
Phone: (304) 746-2088
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence 97394 (WV) |
|---|---|
| School Registered Nurse | Taxonomy 163WS0200X · Licence 97394 (WV) |
Record details
| NPI number | 1750022463 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 5, 2022 |
| Last updated in NPPES | August 21, 2024 |
| Certification date | August 21, 2024 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Northstar Anesthesia Of West Virginia Pllc — 124 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |