Individual
CHRISTINA MARIE MENDENHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10500 QUIVIRA RD, OVERLAND PARK, KS 66215-2306
(913) 428-2900
Mailing address
8717 W 110TH ST, SUITE 600, OVERLAND PARK, KS 66210-2144
(913) 428-2900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13-101649-121
KS
163W00000X
Registered Nurse
2011036789
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
90562
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174504732
ANESTHESIA ASSOCIATES OF KANSAS CITY NPI GROUP NUMBER
KS
Enumeration date
04/08/2013
Last updated
12/08/2015
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