Organization
MID-KANSAS ANESTHESIA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD E DARGER CRNA (PRESIDENT/OWNER)
(620) 825-4347
Entity
Organization
Contact information
Practice address
603 N 9TH ST, KIOWA, KS 67070-1009
(620) 825-4347
(620) 825-4347
Mailing address
PO BOX 235, KIOWA, KS 67070-0235
(620) 825-4347
(620) 825-4347
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
14-58608-061
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
044368
BLUE CROSS/BLUE SHIELD
KS
Enumeration date
06/04/2006
Last updated
08/22/2020
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