Individual
BILLY TANUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 699-0198
Mailing address
5621 NW SUNRISE MEADOW CIR, LEES SUMMIT, MO 64064-1262
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2010005544
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
910071307
—
MO
Enumeration date
05/01/2019
Last updated
12/23/2020
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