Individual
SON D TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
600 MEDICAL CENTER DR, NEWTON, KS 67114-8780
(316) 283-2700
Mailing address
PO BOX 388, NEWTON, KS 67114-0388
(316) 281-3700
(316) 282-4322
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
55464
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145252
BCBS
KS
05
—
200366120A
—
KS
Enumeration date
06/16/2005
Last updated
08/26/2008
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