Organization
MID-AMERICA ANESTHESIA PROFESSIONALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMMIE LEE MCKIBBAN (CRNA)
(316) 321-8772
Entity
Organization
Contact information
Practice address
720 W CENTRAL AVE, EL DORADO, KS 67042-2112
(316) 321-3300
Mailing address
PO BOX 388, NEWTON, KS 67114-0388
(316) 281-3700
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
03/02/2007
Last updated
05/25/2011
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