Organization
DYNAMOS ANESTHESIA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY GORDON CRNA (OWNER)
(913) 522-0889
Entity
Organization
Contact information
Practice address
3550 S 4TH ST, LEAVENWORTH, KS 66048-5071
(913) 680-6000
Mailing address
29800 W 127TH ST, OLATHE, KS 66061-8636
(913) 522-0889
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
01/13/2020
Last updated
11/07/2024
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