Individual
MR. DEREK EDERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-8501
(913) 588-1227
Mailing address
5004 PAYNE ST, SHAWNEE, KS 66226-2337
(314) 445-8779
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
43-558086-011
KS
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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