Organization
ABB PA
Active
Other names
ABB INC
Organization subpart
No
Provider details
NPI number
Authorized official
JAN C ROWLETT CRNA MS (PRESIDENT)
(913) 268-4133
Entity
Organization
Contact information
Practice address
918 HIGHWAY 69, FORT SCOTT, KS 66701-8885
(620) 223-0200
Mailing address
PO BOX 25097, OVERLAND PARK, KS 66225-5097
(913) 268-4133
(913) 268-4138
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180635
BLUE CROSS BLUE SHIELD
KS
01
—
33139012
BLUE CROSS BLUE SHIELD
MO
01
—
DA2652
RAILROAD MEDICARE
KS
01
—
DA2653
RAILROAD MEDICARE
MO
Enumeration date
11/30/2005
Last updated
01/07/2015
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