Individual
JEFFREY TYLER CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2700 CLAY EDWARDS DR STE 240, NORTH KANSAS CITY, MO 64116-3254
(816) 691-2021
(816) 346-7690
Mailing address
2700 CLAY EDWARDS DR STE 240, NORTH KANSAS CITY, MO 64116-3254
(816) 691-2021
(816) 346-7690
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2009002366
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
2015018286
MO
Other
Enumeration date
04/29/2015
Last updated
10/05/2022
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