Terry Keith Blue, CRNA

NPI #1114909991 in Andover, Kansas

Provider Information

NPI Number
1114909991
Entity Type
Individual
Name
Terry Keith Blue, CRNA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Nov 16, 2005
Last Updated
Oct 13, 2011

Practice Location

Address
1108 E WATERVIEW DR
State
Kansas
ZIP Code
67002-7996
Phone
(316) 425-8153

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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