Organization
WESTERN KANSAS ANESTHESIA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES G MANNING CRNA (CORPORATE OWNER PRESIDENT)
(785) 628-8113
Entity
Organization
Contact information
Practice address
1904 E 29TH STREET, HAYS, KS 67601
(785) 650-0600
(785) 650-0143
Mailing address
PO 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
—
180062
BCBS
KS
05
—
200564860A
—
KS
Enumeration date
09/14/2006
Last updated
09/16/2008
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