Individual
RUTH POTTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
16225 GILMAN RD., LEAVENWORTH, KS 66048
(913) 727-5600
(913) 727-5602
Mailing address
10217 STONEHAUS DR, LEES SUMMIT, MO 64086-9613
(816) 554-3620
(816) 524-4218
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
103014
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
54594
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20836031
BCBS NUMBER
KS
Enumeration date
05/26/2006
Last updated
07/09/2007
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