Individual
MRS. KELLI ANN YEAROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10720 NALL AVE, OVERLAND PARK, KS 66211-1206
(913) 754-5000
(913) 754-4560
Mailing address
PO BOX 411851, KANSAS CITY, MO 64141-1851
(913) 588-6670
(913) 588-3365
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1373529072
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
55486
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200367500A
—
KS
Enumeration date
09/25/2006
Last updated
07/31/2014
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