Individual
KYLE B HANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
929 N SAINT FRANCIS ST, WICHITA, KS 67214-3821
(316) 268-5000
Mailing address
PO BOX 2897, WICHITA, KS 67201-2897
(800) 374-5326
(800) 374-7656
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
100045
KS
367500000X
Certified Registered Nurse Anesthetist
147494
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
557203
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201084880A
—
KS
Enumeration date
06/26/2013
Last updated
01/15/2014
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