Individual
ZACKARY ALLEN WALDRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA, DNP
Contact information
Practice address
3901 RAINBOW BLVD, MS 1034, KANSAS CITY, KS 66160-8500
(913) 588-2824
Mailing address
8175 NE 83RD PL, APT 0435, KANSAS CITY, MO 64158-7143
(620) 341-2787
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
557409
KS
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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