Individual
SANDRA K FLEMMING-KOTTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1000 E CHERRY ST, TROY, MO 63379-1513
(636) 528-3329
Mailing address
PO BOX 38, TROY, MO 63379-0038
(636) 528-3389
(636) 528-7744
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
035456
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430062504
RAILROAD MEDICARE
MO
05
—
912769064
—
MO
Enumeration date
06/22/2005
Last updated
12/02/2013
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