Individual
MS. ROBIN K. MOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204-4004
(913) 632-2230
(913) 632-2297
Mailing address
PO BOX 411895, KANSAS CITY, MO 64141-1895
(913) 632-2230
(913) 632-2297
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
98303
KS
367500000X
Certified Registered Nurse Anesthetist
49652
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
55518
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200730840A
—
KS
01
—
39665026
BCBS KC
KS
01
—
P01030942
RR MEDICARE
KS
Enumeration date
02/23/2006
Last updated
11/24/2020
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