Individual
JAMES GORDON MANNING III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1904 E 29TH STREET, HAYS, KS 67601
(785) 650-0600
(785) 650-0143
Mailing address
P.O. BOX 68, HAYS, KS 67601
(785) 628-8113
(785) 625-6126
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
54114
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146078
BCBS
KS
Enumeration date
08/20/2006
Last updated
09/16/2008
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