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Individual

BRENT V SNYDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
617 LIBERTY ST, CLAY CENTER, KS 67432-1564
(785) 632-2144
(785) 632-3352
Mailing address
423 N AKSARBEN, WICHITA, KS 67235
(316) 239-7155

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
54078
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15286
BLUE SHIELD OF KS.
KS
Enumeration date
06/16/2006
Last updated
07/12/2007
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