Individual
NICOLE KNUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3901 RAINBOW BLVD, MAIL STOP 1034, KANSAS CITY, KS 66160-8500
(913) 588-6670
Mailing address
3901 RAINBOW BLVD, MAIL STOP 1034, KANSAS CITY, KS 66160-8500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13-105119-021
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
557347
KS
Other
Enumeration date
05/29/2015
Last updated
08/05/2016
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