Individual
BRIAN EVERETT BENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1700 RAINBOW BLVD, EXCELSIOR SPRINGS, MO 64024-1182
(816) 629-2704
Mailing address
1700 RAINBOW BLVD, EXCELSIOR SPRINGS, MO 64024-1182
(816) 629-2704
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
110659
KS
163W00000X
Registered Nurse
2007034982
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
2020016187
MO
367500000X
Certified Registered Nurse Anesthetist
557179
KS
Other
Enumeration date
06/28/2013
Last updated
01/04/2024
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