Individual
JOHN WADE FOGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-4700
(913) 588-1200
Mailing address
11333 HEMLOCK ST, OVERLAND PARK, KS 66210-2458
(913) 800-0446
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
43-557941-062
KS
Other
Enumeration date
07/16/2019
Last updated
05/07/2024
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