Organization
BUTLER COUNTY ANESTHESIA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMMIE LEE MCKIBBAN CRNA (OWNER MEMBER OF LLC)
(316) 321-3300
Entity
Organization
Contact information
Practice address
720 W CENTRAL, EL DORADO, KS 67042
(316) 321-3300
Mailing address
PO BOX 388, NEWTON, KS 67114-0388
(316) 281-3700
(316) 282-4322
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
02/22/2006
Last updated
08/22/2020
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