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Individual

MR. JAMES F AHOLT

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) 404-3495
Mailing address
2301 HOLMES RD, KANSAS CITY, MO 64108-2640

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
072264
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
072264
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
20305640A
KS
Enumeration date
07/06/2006
Last updated
10/05/2007
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