Individual
KAYLA RAE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA, DNP
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-5000
Mailing address
3020 SW 9TH TER, LEES SUMMIT, MO 64081-3711
(308) 379-1838
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14-118472-032
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
43-557337-032
KS
Other
Enumeration date
06/18/2015
Last updated
01/23/2018
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