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Individual

KEATON ALAN MISHLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160
(913) 588-1227
Mailing address
5416 BROOKSIDE BLVD, KANSAS CITY, MO 64112-2863

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2018014375
MO
367500000X
Certified Registered Nurse Anesthetist
557485
KS

Other

Enumeration date
04/18/2017
Last updated
03/16/2023
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