Individual
KRIS TARLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3515 BROADWAY AVE, GREAT BEND, KS 67530-3633
(316) 685-6091
Mailing address
9313 E 34TH ST N STE 100, WICHITA, KS 67226-2638
(316) 685-6091
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
55473
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145284
BCBS
KS
01
—
P00311025
RR MEDICARE
—
Enumeration date
04/25/2007
Last updated
07/08/2007
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