John Runyans, CRNA

NPI 1063779197 · on the registry since 2012 · sole proprietor

Practice

Address: 1932 Laurel Rd Ste 1b
Vestavia Hills, AL 35216
Phone: (205) 202-9163
Organisation at this address: Southern Ketamine And Wellness Llc
Southern Ketamine And Wellness, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 367500000X
367500000X
Licence states on file: AL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-06-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama