Individual
HALEY GOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-2000
Mailing address
20308 W 99TH ST, LENEXA, KS 66220-4018
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
125059302
IL
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
#04-38920
KS
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
04-3890
KS
Other
Enumeration date
06/21/2011
Last updated
06/15/2022
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