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Individual

THERESA A SUTTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
216 WEST BIRCH, SCKRMC, ARKANSAS CITY, KS 67005
(620) 442-2500
(620) 441-5968
Mailing address
1204 E TENTH ST, WINFIELD, KS 67156
(620) 222-7780

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
55558
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200419000A
KS
Enumeration date
10/23/2006
Last updated
07/10/2007
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