# CLINICAL COLLEAGUES KS PA

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

## Provider details

- **NPI number:** 1548813967
- **Authorized official:** MARGARITE D GARNER (VP OPERATIONS, MEDICAL STAFF SERV)
- **Authorized official phone:** (904) 298-9590

## Contact information

- **Practice address:** 629 S PLUMMER AVE, CHANUTE, KS 66720-1928
- **Practice address phone:** (850) 985-9180
- **Practice address fax:** (603) 893-8886
- **Mailing address:** 1765 E NINE MILE RD STE 1-229, PENSACOLA, FL 32514-5479
- **Mailing address phone:** (850) 985-9180

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 07/24/2019
- **Last updated:** 07/27/2026