Individual
THOMAS DRURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1947 N FOUNDERS ST, WICHITA, KS 67206-3548
(316) 613-4931
(316) 613-4937
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9102
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
54631
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003719368
MEDICARE
—
05
—
100332900C
—
KS
Enumeration date
08/09/2006
Last updated
03/31/2016
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