KENNETH R GORE CRNA
NPI 1033593801
Nurse Anesthetist, Certified Registered in Austin, TX

Active since July 11, 2015
711 W 38TH ST STE E4, AUSTIN, TX 78705(512) 768-0652 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kenneth R Gore Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH R GORE CRNA (NPI 1033593801) is an individual nurse anesthetist, certified registered in Austin, Texas, licensed in Texas (672092) and active in the NPI registry since July 2015. He is a graduate of Other (2015).

NPPES Registry Identity

NPI1033593801
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameKENNETH R GORECredential: CRNA
Location Address711 W 38TH ST STE E4Austin, TX 78705-1132
Mailing Address116 Red Camella DrGeorgetown, TX 78628-3963 · (512) 948-0850
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 11, 2015
Last NPPES UpdateSeptember 16, 2025
NPPES CertifiedSeptember 16, 2025
NPI 1033593801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in TX · 672092
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

711 W 38TH ST STE E4, Austin, TX 78705

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kenneth R Gore Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658884663
PECOS Enrollment IDI20250702001786

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
711 W 38TH ST STE E4
AUSTIN, TX 78705
Dentist (General Practice)
711 W 38TH ST STE E4
AUSTIN, TX 78705
Dentist (General Practice)
711 W 38TH ST STE E4
AUSTIN, TX 78705
Dentist
711 W 38TH ST STE E4
AUSTIN, TX 78705
Dentist (Prosthodontics)
711 W 38TH ST STE E4
AUSTIN, TX 78705

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033593801, enumerated as an "individual" on July 11, 2015.

The provider is located at 711 W 38TH ST STE E4 AUSTIN, TX 78705 and the phone number is (512) 768-0652.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to verify.