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NPI 1902481054

NPI 1902481054 : KENIA EDMOND CRNA : KANSAS CITY, KS

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General NPI Number Information
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    NPI Number           |    1902481054
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    Entity Type          |    Individual 
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    Provider Name        |    KENIA EDMOND CRNA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/10/2021
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    Last Update Date     |    07/22/2026
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Provider Practice Location Address
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    Address Line         |    4000 CAMBRIDGE ST 
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    City                 |    KANSAS CITY
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    State                |    KS
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    Zip                  |    66160-8501
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    Country              |    US
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    Telephone            |    913-588-1227
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3873 CORAL TREE CIR 
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    City                 |    COCONUT CREEK
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    State                |    FL
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    Zip                  |    33073-4438
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    Country              |    US
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    Telephone            |    561-827-7058
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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        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    L6-0A10917
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    License Number State |    DE
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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       |    000000
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    License Number State |    FL
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Taxonomy #3
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    Taxonomy Code        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    APRN11012479
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    License Number State |    FL
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Taxonomy #4
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    Taxonomy Code        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    43-558399
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    License Number State |    KS
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