Individual
RACHEL M MITCHELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6815 FRONTAGE RD, MERRIAM, KS 66204-1398
(816) 478-4200
(816) 875-2598
Mailing address
5101 COLLEGE BLVD, LEAWOOD, KS 66211-1614
(816) 478-4200
(816) 875-2598
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13-118953-102
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
43-557694-102
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201252480A
—
KS
01
—
60366011
BCBS KC
KS
05
—
910081854
—
MO
01
—
P02324918
RAILROAD
KS
Enumeration date
04/02/2019
Last updated
08/23/2024
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