NPI | 1770128795 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTEN BIRCH Provider Enrollment Specialists 913-599-9336 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
Enumeration Date | 2019-11-13 |
Last Update Date | 2019-11-13 |