# BAXLEY ANESTHETICS OF KANSAS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508562059
- **Authorized official:** BRYAN O'NEAL BAXLEY CRNA (PRESIDENT)
- **Authorized official phone:** (417) 529-3436

## Contact information

- **Practice address:** 10409 STATE HIGHWAY 43, WEBB CITY, MO 64870-9723
- **Practice address phone:** (417) 529-3436
- **Mailing address:** 10409 STATE HIGHWAY 43, WEBB CITY, MO 64870-9723
- **Mailing address phone:** (417) 529-3436

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/06/2023
- **Last updated:** 02/06/2023