Individual
PHILIP YUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2525 GLENN HENDREN DR, LIBERTY, MO 64068-9625
(816) 781-7200
(816) 792-7196
Mailing address
PO BOX 804408, KANSAS CITY, MO 64180-4408
(913) 647-4100
(913) 647-4120
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2009024212
MO
367500000X
Certified Registered Nurse Anesthetist
54351
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103453
BCBS
KS
05
—
200277760A
—
KS
01
—
43082021
BCBS KC
MO
05
—
919421107
—
MO
01
—
P00157094
RAILROAD MEDICARE
KS
01
—
P02320850
RAILROAD
MO
Enumeration date
01/21/2006
Last updated
12/09/2020
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