Individual
LEON F GOODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
201 NW R D MIZE RD, BLUE SPRINGS, MO 64014-2513
(816) 228-5900
Mailing address
940 WEST PORT PLAZA, STE 270, ST LOUIS, MO 63146
(314) 453-0600
(314) 453-0083
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
101430
MO
367500000X
Certified Registered Nurse Anesthetist
54400
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100383520A
—
KS
Enumeration date
10/05/2006
Last updated
01/14/2025
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