Organization
TRANQUIL EYES ANESTHESIA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESA J MORBY CRNA (OWNER)
(316) 789-9880
Entity
Organization
Contact information
Practice address
1100 N TOPEKA ST, WICHITA, KS 67214-2810
(316) 263-6273
Mailing address
PO BOX 388, NEWTON, KS 67114-0388
(316) 281-3700
(316) 282-4322
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180061
BCBS
KS
05
—
200535900A
—
KS
Enumeration date
10/27/2006
Last updated
09/16/2008
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