Healthcare Provider Details

I. General information

NPI: 1447220405
Provider Name (Legal Business Name): CURTIS JOHN BITTNER CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 07/18/2024
Certification Date: 07/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6815 FRONTAGE RD
MERRIAM KS
66204-1398
US

IV. Provider business mailing address

5101 COLLEGE BLVD
LEAWOOD KS
66211-1614
US

V. Phone/Fax

Practice location:
  • Phone: 816-478-4200
  • Fax: 816-875-2598
Mailing address:
  • Phone: 816-478-4200
  • Fax: 816-875-2598

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number54413
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: