Individual
MULENGA CHONYA CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204-4004
(913) 632-2230
(913) 632-2297
Mailing address
PO BOX 411895, KANSAS CITY, MO 64141-1895
(913) 632-2230
(913) 632-2297
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2012038290
MO
163W00000X
Registered Nurse
98820
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
557266
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201096750A
—
KS
01
—
50686019
BCBS KC
KS
05
—
910024404
—
MO
01
—
P01386768
RAILROAD
KS
Enumeration date
05/28/2014
Last updated
11/30/2020
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