Individual
LORICIA LEA JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1209 NW NORTH RIDGE DRIVE, SUITE B, ANESTHESIA SERVICES OF BLUE SPRINGS, BLUE SPRINGS, MO 64014-6320
(816) 988-8415
(816) 988-8395
Mailing address
25012 W. 86TH TERRACE, LENEXA, KS 66227-3522
(316) 304-3144
(913) 745-5909
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2007012542
MO
367500000X
Certified Registered Nurse Anesthetist
55593
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200504010A
—
KS
05
—
915473904
—
MO
01
—
P00430884
RAILROAD MEDICARE
KS
Enumeration date
04/18/2007
Last updated
10/09/2024
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