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Individual

GERALD DEE BARNES JR.

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
(800) 374-5326
Mailing address
PO BOX 2897, WICHITA, KS 67201-2897
(800) 374-5326

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
141608
KS
390200000X
Student in an Organized Health Care Education/Training Program
1395079022
KS

Other

Enumeration date
07/19/2010
Last updated
12/07/2010
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