Individual
RICK ABBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3701 FAIRWAY DR, HAYS, KS 67601-1576
(785) 769-4416
Mailing address
3701 FARIWAY DR, HAYS, KS 67601-1576
(785) 621-4793
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
54093
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100244180F
—
KS
01
—
144837
BLUE SHIELD
KS
01
—
54093
LICENSE
KS
Enumeration date
10/02/2006
Last updated
04/07/2016
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