Organization
SPECIAL ANESTHESIA SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD JAMES KELLER CRNA (PRESIDENT)
(316) 788-5939
Entity
Organization
Contact information
Practice address
727 N BALTIMORE AVE, DERBY, KS 67037-1609
(316) 788-5939
(316) 282-4322
Mailing address
727 N BALTIMORE AVE, DERBY, KS 67037-1609
(316) 281-3700
(316) 282-4322
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
03/07/2006
Last updated
10/20/2011
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