Individual
LUKE I COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
600 MEDICAL CENTER DRIVE, NEWTON, KS 67114
(316) 283-2700
Mailing address
425 N BELMONT AVE, WICHITA, KS 67208-3810
(316) 304-6635
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
55556
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145403
BCBS OF KS
KS
05
—
200419350A
—
KS
01
—
55556
RNA LICENSE
KS
01
—
P00398949
RR MEDICARE GROUP CQ2302
—
Enumeration date
01/11/2007
Last updated
09/17/2015
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