Individual
CHERYL L GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2800 CLAY EDWARDS DR, ANESTHESIA DEPT, NORTH KANSAS CITY, MO 64116-3220
(816) 221-5050
(816) 471-1247
Mailing address
1900 SWIFT AVE, SUITE 203, NORTH KANSAS CITY, MO 64116-3445
(816) 221-5050
(816) 471-1247
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2010021175
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304382700
—
FL
01
—
430027986
MCRR
FL
01
—
G1400
BSFL
FL
01
—
G1400Z
MCR
FL
01
—
H900000016
MEDICARE
MO
01
—
P00937035
MEDICARE RAILROAD
MO
Enumeration date
10/21/2005
Last updated
07/03/2014
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