Individual
ABIGAIL HEATHER ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10301 HICKMAN MILLS DR, SUITE 100, KANSAS CITY, MO 64137-1674
(816) 965-8537
Mailing address
6326 ALBERVAN ST, SHAWNEE, KS 66216-2288
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
14108184052
KS
Other
Enumeration date
06/02/2009
Last updated
06/02/2009
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