Individual
DAVID E. STUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2700 CLAY EDWARDS DR STE 240, NORTH KANSAS CITY, MO 64116-3254
(816) 691-2021
(816) 346-7690
Mailing address
9411 N OAK TRFY STE LL1, KANSAS CITY, MO 64155-2262
(816) 691-1655
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2023033137
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902139736
—
MO
05
—
200621370A
—
KS
01
—
43093015
BCBS KC
KS
01
—
P00765513
RR MEDICARE
KS
Enumeration date
09/11/2009
Last updated
12/08/2023
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