Individual
CONSTANTINE MARINOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-2640
(913) 588-1227
Mailing address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-8501
(913) 588-1227
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13-98251-081
KS
163W00000X
Registered Nurse
2007001403
MO
367500000X
Certified Registered Nurse Anesthetist
2012016830
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
43-557583-081
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
919848408
—
MO
Enumeration date
05/17/2012
Last updated
03/19/2024
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