Individual
BRIAN D HANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
720 W CENTRAL AVE, EL DORADO, KS 67042-2112
(316) 321-3300
Mailing address
PO BOX 388, NEWTON, KS 67114-0388
(316) 281-3700
(316) 282-4322
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
54120
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043437
BCBS
KS
05
—
100247770B
—
KS
05
—
100247770D
—
KS
01
—
145455
BCBS
KS
Enumeration date
05/30/2006
Last updated
08/19/2008
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