Individual
TERRY KEITH BLUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1108 E WATERVIEW DR, ANDOVER, KS 67002-7996
(316) 425-8153
(316) 425-8153
Mailing address
1108 E WATERVIEW DR, ANDOVER, KS 67002-7996
(316) 425-8153
(316) 425-8153
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP3243142
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100252100A
—
KS
05
—
430056874
—
FL
Enumeration date
11/16/2005
Last updated
10/13/2011
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