Individual
CRAIG ALAN KAZMAIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
3901 RAINBOW BLVD, PROFESSIONAL SERVICES OF KU HOSPITAL, KANSAS CITY, KS 66160-0001
(913) 588-6504
(913) 588-9104
Mailing address
2330 SHAWNEE MISSION PKWY, MEDICAL ADMINISTRATIVE SERVICES OF KU MED. STE 312, WESTWOOD, KS 66205-2005
(913) 588-9000
(913) 588-9822
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
44810
KS
364SE0003X
Emergency Clinical Nurse Specialist
44810
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10001787600
CHP PROVIDER NUMBER
—
01
—
664893
FIRSTGUARD
—
Enumeration date
08/31/2006
Last updated
11/14/2007
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