Individual
CHARLENE M MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
720 W CENTRAL AVE, EL DORADO, KS 67042-2112
(316) 321-3300
(630) 792-5636
Mailing address
PO BOX 356, WICHITA, KS 67201-0356
(800) 374-5326
(800) 374-7656
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1382074072
KS
367500000X
Certified Registered Nurse Anesthetist
140196
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
556929
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200634060A
—
KS
Enumeration date
07/27/2009
Last updated
02/14/2024
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