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General NPI Number Information
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NPI Number | 1669150280
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Entity Type | Individual
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Provider Name | LANDON MCKINNLEY CAIRER CRNA
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Gender | Male
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Dates
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Enumeration Date | 07/05/2023
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 2700 CLAY EDWARDS DR STE 240
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City | NORTH KANSAS CITY
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State | MO
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Zip | 64116-3254
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Country | US
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Telephone | 816-691-2021
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Fax | 816-346-7690
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Provider Business Mailing Address
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Address Line | 2301 SE HORSESHOE DR
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City | OAK GROVE
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State | MO
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Zip | 64075-5315
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Country | US
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Telephone | 816-405-9147
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 2025017383
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License Number State | MO
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