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NPI Code Detail

MEDICARE: CARA L BRAY CRNA

MEDICARE: CARA L BRAY CRNA
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
1163W00000XRegistered Nurse1376143012KS
2367500000XCertified Registered Nurse Anesthetist55065KS

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00239237OTHERKSRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518934355
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARA L BRAY CRNA
Provider Business Mailing Address
First Line : 20375 W 151ST ST
Second Line : SUITE 306
City : OLATHE
State : KS
Zip : 66061-5306
Country : US
Telephone Number : 913-782-2292
Fax Number : 913-782-2381
Provider Business Practice Location Address
First Line : 20375 W 151ST ST
Second Line : SUITE 306
City : OLATHE
State : KS
Zip : 66061-5306
Country : US
Telephone Number : 913-782-2292
Fax Number : 913-782-2381
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2006
Last Update Date : 11/15/2011

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Directions to “ CARA L BRAY CRNA” Practice Location

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