Individual
RYAN C. BARTHOLOMEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2525 GLENN HENDREN DR, LIBERTY, MO 64068-9625
(816) 792-7126
(816) 792-7196
Mailing address
2525 GLENN HENDREN DR, LIBERTY, MO 64068-9625
(816) 792-7126
(816) 792-7196
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2011032875
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
2013017081
MO
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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