Individual
GARRETT T REBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3515 BROADWAY AVE, GREAT BEND, KS 67530-3633
(800) 475-6236
Mailing address
PO BOX 48037, WICHITA, KS 67201-8037
(800) 475-6236
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
557141
KS
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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