College Boulevard Anesthesia Services LLC

NPI #1801867510 in Paola, Kansas

Provider Information

NPI Number
1801867510
Entity Type
Organization
Organization Name
College Boulevard Anesthesia Services LLC
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Jan 30, 2006
Last Updated
May 12, 2011

Practice Location

Address
2100 BAPTISTE DR
City
Paola
State
Kansas
ZIP Code
66071
Phone
(913) 294-2327

Authorized Official

Name
PAUL STEPHEN BENNETTS, CRNA
Title
PARTNER ADMINISTRATOR
Phone
(913) 294-2327

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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