TOMMIE LEE MCKIBBAN

EL DORADO, KS
NPI1316912314
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: KS  54002)
Enumeration Date2006-02-22
Last Update Date2011-05-12
Business Address
-- TOMMIE LEE MCKIBBAN CRNA
720 WEST CENTRAL
EL DORADO, KS 67042
Phone number: 316-321-3300
Mailing Address
-- TOMMIE LEE MCKIBBAN CRNA
PO BOX 388
NEWTON, KS 67114-0388
Phone number: 316-281-3700