Individual
PHILLIP ARNOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1431 BLUFFVIEW ST, STE 215, WICHITA, KS 67218-3039
(316) 685-6091
Mailing address
9313 E 34TH ST N, SUITE 100, WICHITA, KS 67226-2637
(316) 685-6091
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
54006
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145028
BCBS
KS
01
—
P00191532
RAILROAD MEDICARE
—
Enumeration date
04/19/2007
Last updated
07/08/2007
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