MEDICARE: MRS. CINDY J GOE CRNA MA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	54230	KS
2	367500000X	Certified Registered Nurse Anesthetist	086588	MO

General Provider Information

NPI Number	:	1346229374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CINDY J GOE CRNA MA

Provider Business Mailing Address
First Line	:	14619 S LUCILLE ST
Second Line	:
City	:	OLATHE
State	:	KS
Zip	:	66062-8108
Country	:	US
Telephone Number	:	913-681-9716
Fax Number	:

Provider Business Practice Location Address
First Line	:	14619 S LUCILLE ST
Second Line	:
City	:	OLATHE
State	:	KS
Zip	:	66062-8108
Country	:	US
Telephone Number	:	913-681-9716
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2006
Last Update Date	:	05/01/2025

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