Individual
JEFFREY BRADFORD ENRIQUEZ CASPERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2700 CLAY EDWARDS DR STE 240, NORTH KANSAS CITY, MO 64116-3254
(816) 691-2021
(816) 346-7690
Mailing address
9411 N OAK TRFY STE LL1, KANSAS CITY, MO 64155-2262
(816) 691-1655
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2023008885
MO
367500000X
Certified Registered Nurse Anesthetist
557910
KS
Other
Enumeration date
07/16/2021
Last updated
03/17/2023
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