KENNETH DONALD KLOS JR. CRNA
NPI 1386646115
Nurse Anesthetist, Certified Registered in Cook, MN

Active since August 11, 2005
7595 TIMBERLORE TRL, COOK, MN 55723(218) 290-4381 Get Directions Write a Review

NPPES record last updated: September 29, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kenneth Donald Klos Jr. Crna NPPES

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

KENNETH DONALD KLOS JR. CRNA (NPI 1386646115) is an individual nurse anesthetist, certified registered in Cook, Minnesota, licensed in Minnesota (R076202-1) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1386646115
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameKENNETH DONALD KLOS JR.Credential: CRNA
Location Address7595 TIMBERLORE TRLCook, MN 55723-8728
Mailing Address7595 Timberlore TrlCook, MN 55723-8728 · (218) 290-4381
Sole ProprietorNo
Enumeration DateAugust 11, 2005
Last NPPES UpdateSeptember 29, 2011
NPI 1386646115 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 MN · R076202-1
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.

7595 TIMBERLORE TRL, Cook, MN 55723

Other Identifiers 2

Medicaid891043000MN
Medicare ID-Type Unspecified439000635MN

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386646115, enumerated as an "individual" on August 11, 2005.

The provider is located at 7595 TIMBERLORE TRL COOK, MN 55723 and the phone number is (218) 290-4381.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.