Individual
RYAN LEE KOERKENMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-6670
Mailing address
8432 W 193RD TER, STILWELL, KS 66085-9499
(913) 269-5052
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
557586
KS
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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