Keith J Augustine, CRNA
Nurse Anesthetist, Certified Registered in Wilkes Barre, PA. Individual provider (NPI-1).
NPI number1609840701
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1609840701
- Entity type
- Individual (NPI-1)
- Name
- Mr. Keith J Augustine
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 15, 2006
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN236047L | PA | Yes |
Practice location
1000 E Mountain BlvdDept Of Anesthesia
Wilkes Barre, PA 18711-0027
Phone 570-826-7850 · Fax 570-826-7855
Mailing address
100 N Academy AveDanville, PA 17822-3034
Phone 570-271-6144 · Fax 570-271-6578
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