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Individual

ELISA A MCKAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-1100
(816) 404-1103
Mailing address
1900 W 55TH ST, MISSION HILLS, KS 66208-1160
(913) 262-2277

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
078933
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100418830C
KS
05
914649447
MO
01
P00104282
RAILROAD MEDICARE
NE
01
P00230485
RAILROAD MEDICARE
KS
01
P00322736
RAILROAD MEDICARE
MO
Enumeration date
07/27/2006
Last updated
03/12/2008
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