Individual
PATRICIA KASTENS ENGELSTAD
Active
Individual
PATRICIA KASTENS ENGELSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1373802072
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
1373802072
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1373802072
KS STATE BOARD OF NURSING
KS
01
—
145990
BCBS OF KS
KS
05
—
200517100A
—
KS
01
—
P00605525
RR MEDICARE GROUPCQ2302
KS
Enumeration date
08/01/2007
Last updated
01/07/2016
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