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Individual

STEVEN HENRY GUNNELLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA, APRN

Contact information

Practice address
300 UTAH ST, HIAWATHA, KS 66434-2314
(785) 742-2131
(785) 742-6588
Mailing address
2561 LINDEN ROAD, HIAWATHA, KS 66434
(785) 742-2131
(785) 742-6588

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4355160
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
55160
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200254840B
KS
Enumeration date
10/18/2006
Last updated
09/24/2020
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