KOLTON LEVI TANNER ALEXANDER

PLAINVILLE, KS
NPI1821509753
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: KS  557524)
Enumeration Date2017-10-18
Last Update Date2017-10-18
Business Address
KOLTON LEVI TANNER ALEXANDER CRNA
ROOKS COUNTY HEATH CENTER 1210 N WASHINGTON
PLAINVILLE, KS 67663
Phone number: 785-434-4553
Mailing Address
KOLTON LEVI TANNER ALEXANDER CRNA
1005 S WASHINGTON ST
PLAINVILLE, KS 67663-3607
Phone number: