Individual
DOUGLAS A. SALERNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204-4004
(913) 676-2679
(913) 789-3191
Mailing address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204-4004
(913) 676-2679
(913) 789-3191
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
81253
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
55041
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100456090B
—
KS
05
—
100456090C
—
KS
05
—
919298000
—
MO
01
—
P00708218
RR MEDICARE
KS
Enumeration date
12/15/2005
Last updated
07/31/2013
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