Individual
KRISTOPHER WAYNE RAUCHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1531 E 32ND ST STE 6, JOPLIN, MO 64804-2970
(417) 553-0210
Mailing address
1671 FOXBORO CT, BENTONVILLE, AR 72713-9369
(816) 520-3326
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2011011036
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
117738
MO
Other
Enumeration date
06/07/2018
Last updated
07/10/2024
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