Individual
KRISTA S DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
929 N SAINT FRANCIS ST, WICHITA, KS 67214-3821
(316) 268-5000
(316) 291-4272
Mailing address
PO BOX 2897, WICHITA, KS 67201-2897
(877) 649-7812
(918) 392-2941
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13111533101
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
557447
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201142150A
—
KS
01
—
P01723254
RR MEDICARE PTAN
KS
Enumeration date
05/24/2016
Last updated
01/25/2017
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