Individual
CONNIE E KIBURZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3310 W 10TH ST, SEDALIA, MO 65301-2111
(660) 829-4024
Mailing address
605 SHAWNEE ST, LEAVENWORTH, KS 66048-1958
(913) 680-0812
(913) 680-1445
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
095655
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17022
PREFERRED HEALTH SYSTEMS
KS
01
—
26396046
BLUE CROSS BLUE SHIELD KANSAS CITY
MO
05
—
917714040
—
MO
01
—
P00473637
RAILROAD MEDICARE
MO
Enumeration date
04/06/2007
Last updated
06/19/2008
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