Individual
BRYAN ANDREW WOODWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3601 W 133RD ST, LEAWOOD, KS 66209-3345
(913) 787-3729
(913) 730-5463
Mailing address
3601 W 133RD ST, LEAWOOD, KS 66209-3345
(913) 787-3728
(913) 730-5463
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
149870
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
915365423
—
MO
01
—
P00297139
MEDICARE PIN RR
MO
Enumeration date
03/22/2006
Last updated
06/18/2025
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