Individual
RICHARD COMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3601 N WEBB RD, WICHITA, KS 67226-8129
(316) 685-6236
(316) 652-0340
Mailing address
PO BOX 3518, WICHITA, KS 67201-3518
(316) 685-6236
(316) 652-0340
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
54208
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100247960B
—
KS
01
—
103452
BCBS
KS
01
—
P00154094
RAILROAD MEDICARE
—
Enumeration date
01/21/2006
Last updated
08/13/2014
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