Individual
JUSTIN KAHLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-1100
Mailing address
4216 NW JONATHAN CT, BLUE SPRINGS, MO 64015-6968
(816) 377-5198
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2016019744
MO
Other
Enumeration date
04/04/2016
Last updated
11/19/2020
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