Individual
KIPLEY VERNE ANDERSON
Active
Individual
KIPLEY VERNE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA,BSN,MS,CH
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
078742
IA
367500000X
Certified Registered Nurse Anesthetist
Primary
D-078742
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487792131
—
IA
05
—
913640942
—
MO
Enumeration date
02/02/2007
Last updated
03/09/2017
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