NPI 1033587654

Kca Anesthesia LLC

Organisation Certified Registered Nurse Anesthetist Pratt, KS

Practice location

Address: 200 Commodore St, Pratt, KS 67124-2903
Phone: (620) 672-7451
Mailing address: PO Box 388, Newton, KS 67114-0388

Authorised official

Name: Andrea Jack
Title: Owner
Phone: (620) 672-7451

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X

Other Nurse Anesthetist, Certified Registered providers in Kansas →

Registry record

NPI: 1033587654
Entity type: Organization
NPI issued: 14 Sep 2015
Record last updated: 14 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.