Individual
RYAN KAUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1124 W 21ST ST, ANDOVER, KS 67002-5500
(316) 300-4000
Mailing address
2407 N SILVERDALE ST, ANDOVER, KS 67002-7652
(785) 418-4457
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
43-557891-092
KS
Other
Enumeration date
07/07/2021
Last updated
07/07/2021
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