Individual
DR. TIMOTHY ALLEN PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BSN, CRNA
Contact information
Practice address
100 NE SAINT LUKES BLVD, LEES SUMMIT, MO 64086-6000
(816) 347-5000
Mailing address
101 W. ROYAL ST., RAYMORE, MO 64083
(913) 486-6004
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
112090
MO
Other
Enumeration date
04/26/2017
Last updated
08/28/2017
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