Individual
JEREMY M GREENHAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2700 CLAY EDWARDS DR STE 240, NORTH KANSAS CITY, MO 64116-3254
(816) 691-2021
(816) 346-7690
Mailing address
9411 N OAK TRFY STE LL1, KANSAS CITY, MO 64155-2262
(816) 691-1655
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2004007053
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
914553607
—
MO
01
—
P00891503
RAILROAD
MO
Enumeration date
08/05/2010
Last updated
06/11/2024
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