Individual
LISA KATHLEEN CAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1000 CARONDELET DR, SAINT JOSEPH HEALTH CENTER, KANSAS CITY, MO 64114-4673
(816) 943-2252
(816) 943-4656
Mailing address
RR 2 BOX 300A, PRINCETON, MO 64673-9467
(660) 748-4396
(660) 748-4398
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
083049
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200355240A
—
KS
01
—
22267044
BCBS
KS
01
—
P00102707
RAILROAD
KS
Enumeration date
07/11/2005
Last updated
12/17/2008
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