Individual
JAMES WOELK
Active
Individual
JAMES WOELK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
55574
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
64320
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07643208
—
CO
01
—
145469
BCBS OF KANSAS
KS
05
—
200426610A
—
KS
01
—
GU06356
CO BCBS INDIVIDUAL
CO
01
—
M35816
CO WORK COMP
CO
Enumeration date
10/06/2005
Last updated
05/06/2022
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