Individual
BRETT L CIKANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204-4004
(913) 676-2679
(913) 789-3191
Mailing address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204-4004
(913) 676-2679
(913) 789-3191
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
103356
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
557120
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174873202
—
MO
05
—
200966560A
—
KS
01
—
P01113641
RAILROAD MEDICARE
KS
Enumeration date
09/17/2012
Last updated
05/04/2017
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