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Individual

LUIS B RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
823 N 3RD ST, ARKANSAS CITY, KS 67005-1549
(610) 703-8695
Mailing address
823 N 3RD ST, ARKANSAS CITY, KS 67005-1549
(610) 703-8695

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14-151453-011
KS
367500000X
Certified Registered Nurse Anesthetist
212552
OK
367500000X
Certified Registered Nurse Anesthetist
43-557766-011
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11025817
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1027798060001
PA
01
12186828
CAQH
PA
01
146167
GEISINGER
PA
01
1594393
GATEWAY
PA
01
2571791
FIRST PRIORITY
PA
01
3821024000
IND. BLUE CROSS
PA
01
50097984
CAPITAL ADVANTGE
PA
01
9685655
AETNA
PA
Enumeration date
12/27/2010
Last updated
01/14/2026
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