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KGC CRNA LLC
NPI 1609215730
Nurse Anesthetist, Certified Registered in Melbourne, FL

Active since June 21, 2013
3337 CAPPIO DR, MELBOURNE, FL 32940(321) 759-4460 Get Directions Write a Review

NPPES record last updated: July 19, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kgc Crna Llc NPPES

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

KGC CRNA LLC (NPI 1609215730) is a healthcare organization registered as a nurse anesthetist, certified registered in Melbourne, Florida and active in the NPI registry since June 2013. The organization lists Kandee Georgette Coppala, Manager/owner, as its authorized official.

NPPES Registry Identity

NPI1609215730
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameKGC CRNA LLC
Location Address3337 CAPPIO DRMelbourne, FL 32940-1313
Mailing AddressPo Box 410580Melbourne, FL 32941-0580
Phone(321) 759-4460
Organization SubpartNo
Authorized OfficialKandee Georgette CoppalaManager/owner · (321) 759-4460
Enumeration DateJune 21, 2013
Last NPPES UpdateJuly 19, 2013
✔ NPI 1609215730 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 FL · ARNP 9217913
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.

3337 CAPPIO DR, Melbourne, FL 32940
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Other Identifiers 1

Medicaid306690800FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kgc Crna LLC's NPI number?

The NPI number for Kgc Crna LLC is 1609215730. It was assigned to this organization in the NPPES registry on June 21, 2013.

Where is Kgc Crna LLC located?

Kgc Crna LLC is located at 3337 Cappio Dr, Melbourne, FL 32940. The listed phone number is (321) 759-4460.

What is Kgc Crna LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Kgc Crna LLC was last updated on July 19, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.