Organization
INDEPENDENT ANESTHESIA SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LOU ANN CLOUSE CRNA (PRESIDENT)
(785) 966-3138
Entity
Organization
Contact information
Practice address
14395 HWY 75, MAYETTA, KS 66509
(785) 966-3138
(785) 966-3138
Mailing address
14395 HWY 75, MAYETTA, KS 66509
(785) 966-3138
(785) 966-3138
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
54661
KS
Other
Enumeration date
07/02/2007
Last updated
08/22/2020
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