Individual
GARRETT WITHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(167) 015-2008
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14-121072-031
KS
163W00000X
Registered Nurse
2010023164
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
2016032670
MO
Other
Enumeration date
07/03/2016
Last updated
05/08/2022
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