Basic Information
Provider Information
NPI: 1346977295
EntityType: 2
ReplacementNPI:  
OrganizationName: KANSAS ANESTHESIA PROVIDERS, LLC
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Mailing Information
Address1: 8080 E CENTRAL AVE STE 250
Address2:  
City: WICHITA
State: KS
PostalCode: 672062367
CountryCode: US
TelephoneNumber: 3166867327
FaxNumber: 3166861557
Practice Location
Address1: 1124 W 21ST ST STE 100
Address2:  
City: ANDOVER
State: KS
PostalCode: 670025500
CountryCode: US
TelephoneNumber: 3166867327
FaxNumber: 3166861557
Other Information
ProviderEnumerationDate: 08/02/2022
LastUpdateDate: 08/02/2022
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AuthorizedOfficialLastName: SCHOENHOFER
AuthorizedOfficialFirstName: ABBI
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AuthorizedOfficialTitleorPosition: CEO-ADMIN
AuthorizedOfficialTelephone: 3166867327
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IsOrganizationSubpart: N
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AuthorizedOfficialCredential: CPC, CPPM, CMPE
NPICertificationDate: 08/02/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367500000X  Y193400000X SINGLE SPECIALTY GROUPPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


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