LEAVENWORTH ANESTHESIA PA

LEAVENWORTH, KS
NPI1679555262
Former Legal Business NameMID-AMERICA ANESTHESIA CARE
Entity TypeOrganization
Authorized ContactJEAN M COVILLO
President
913-680-0812
Organization Subpart ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
Enumeration Date2005-11-18
Last Update Date2008-04-20
Business Address
LEAVENWORTH ANESTHESIA PA
605 SHAWNEE ST
LEAVENWORTH, KS 66048-1958
Phone number: 913-680-0812
Mailing Address
LEAVENWORTH ANESTHESIA PA
605 SHAWNEE ST
LEAVENWORTH, KS 66048-1958
Phone number: 913-680-0812