Healthcare Provider Details

I. General information

NPI: 1972078558
Provider Name (Legal Business Name): KAYLA MEENS CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2018
Last Update Date: 05/23/2024
Certification Date: 05/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

823 SW MULVANE ST STE 210
TOPEKA KS
66606-1679
US

IV. Provider business mailing address

335 SE 93RD ST
WAKARUSA KS
66546-9712
US

V. Phone/Fax

Practice location:
  • Phone: 785-235-3451
  • Fax:
Mailing address:
  • Phone: 785-845-8041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number121738
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number557650
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: