CHASTIN LEE MORTENSEN

KANSAS CITY, KS
NPI1285138461
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  AP143790)
Enumeration Date2018-03-21
Last Update Date2020-01-30
Business Address
CHASTIN LEE MORTENSEN DNP, CRNA
3901 RAINBOW BLVD
KANSAS CITY, KS 66160-8500
Phone number: 913-707-2898
Mailing Address
CHASTIN LEE MORTENSEN DNP, CRNA
2016 E. CHEROKEE LANE
OLATHE, KS 66062-3226
Phone number: 913-707-2898
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