Individual
MR. DEAN LEE GRISHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-7528
Mailing address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-7528
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001197573
VA
163W00000X
Registered Nurse
14117177012
KS
367500000X
Certified Registered Nurse Anesthetist
0024169253
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
557052
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200743350A
—
KS
Enumeration date
11/29/2006
Last updated
03/10/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us