KONETTE KENDALL WALL CRNA
NPI 1184793812
Nurse Anesthetist, Certified Registered in Greensboro, NC

Q: What is Konette Wall's NPI number?

The NPI number for Konette Wall is 1184793812. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Q: What is Konette Wall's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Konette Wall was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 07, 2006

501 N ELAM AVE, GREENSBORO, NC 27403(336) 832-1000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Konette Kendall Wall Crna NPPES

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

KONETTE KENDALL WALL CRNA (NPI 1184793812) is an individual nurse anesthetist, certified registered in Greensboro, North Carolina, licensed in North Carolina (23602) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1184793812

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameKONETTE KENDALL WALLCredential: CRNA

Location Address501 N ELAM AVEGreensboro, NC 27403-1118

Mailing AddressPo Box 26580Greensboro, NC 27415-6580 · (336) 832-7786

Phone(336) 832-1000

Sole ProprietorNo

Enumeration DateNovember 7, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1184793812 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 NC · 23602

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.

501 N ELAM AVE, Greensboro, NC 27403

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Other Identifiers 2

Medicaid8051071NC

Medicare ID-Type Unspecified260851BNC

Other Providers at the Same Location NPPES 20

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

YAN FENG

Internal Medicine (Hematology & Oncology)