NPI 1013002161

Michael L Goodmon, CRNA

Practitioner Certified Registered Nurse Anesthetist Burlington, KS

Practice location

Address: 801 N 4th St, Burlington, KS 66839-2602
Phone: (620) 364-2121
Fax: (620) 364-8425
Mailing address: 1310 Penobscot St, Burlington, KS 66839-2279

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 13-031143-061 (KS)

Other Nurse Anesthetist, Certified Registered providers in Kansas →

Registry record

NPI: 1013002161
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Oct 2006
Record last updated: 8 Jul 2007

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.