Organization
GUARDIAN ANESTHESIA SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISA A MCKAY CRNA (SOLE PROPRIETOR)
(913) 262-2277
Entity
Organization
Contact information
Practice address
3840 W 75TH ST, PRAIRIE VILLAGE, KS 66208-4126
(913) 384-9600
(913) 284-9646
Mailing address
PO BOX 413770, KANSAS CITY, MO 64141-3770
(800) 903-2088
(913) 696-7141
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200355250A
—
KS
01
—
27170015
BLUE CROSS BLUE SHIELD OF
MO
05
—
500857800
—
MO
Enumeration date
10/26/2006
Last updated
10/03/2019
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