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Individual

CHEREE TATE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
12300 METCALF AVE, ANESTHESIA DEPT, OVERLAND PARK, KS 66213-1324
(816) 389-6030
(816) 389-6034
Mailing address
9233 WARD PKWY, SUITE 230, KANSAS CITY, MO 64114-3366
(816) 389-6030
(816) 389-6034

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
154970
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
54707
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
27447041
BCBS NUMBER
KS
01
27447051
BCBS NUMBER
MO
Enumeration date
06/01/2006
Last updated
07/09/2007
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