Organization
LANDMARK ANESTHESIA OF KANSAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD JOHNSON MD (PARTNER)
(812) 345-2922
Entity
Organization
Contact information
Practice address
6650 W 110TH ST # 300, OVERLAND PARK, KS 66211-1501
(913) 469-6777
Mailing address
1653 S BELLEMEADE DR, BLOOMINGTON, IN 47401-8671
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
07/13/2017
Last updated
09/07/2017
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