Individual
BLAKE ROBERT WOELLHOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
929 N SAINT FRANCIS AVE, WICHITA, KS 67214-3821
(844) 468-9498
Mailing address
PO BOX 2897, WICHITA, KS 67201-2897
(844) 468-9498
(855) 630-1302
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
135769
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
557984
KS
Other
Enumeration date
01/25/2022
Last updated
06/16/2022
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