Individual
KEVIN M. DEAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
29 NW 1ST LN, LAMAR, MO 64759
(417) 681-5100
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
114826
KS
163W00000X
Registered Nurse
2011013251
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
2016015976
MO
367500000X
Certified Registered Nurse Anesthetist
557258
KS
Other
Enumeration date
05/28/2014
Last updated
08/20/2019
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