Organization
MID KANSAS ANESTHESIA CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD JANZEN (CRNA)
(620) 672-7451
Entity
Organization
Contact information
Practice address
200 COMMODORE ST, PRATT, KS 67124-2903
(620) 672-7451
Mailing address
PO BOX 388, NEWTON, KS 67114-0388
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
04/08/2014
Last updated
04/08/2014
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