Individual
SCOTT E ENGELSTAD
Active
Individual
SCOTT E ENGELSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1497003081
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
55611
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145989
BCBS OF KS
KS
05
—
200508500A
—
KS
01
—
P00625414
RR MEDICARE GROUP CQ2302
KS
Enumeration date
08/05/2007
Last updated
01/07/2016
Update your record
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