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NPI Code Detail

MEDICARE: ALICE K. CHERRY CRNA

MEDICARE:   ALICE K. CHERRY  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
1367500000XCertified Registered Nurse Anesthetist072705MO
2367500000XCertified Registered Nurse Anesthetist55031KS

Other Identifiers

General Provider Information

NPI Number : 1659355683
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICE K. CHERRY CRNA
Provider Business Mailing Address
First Line : DEPT OF ANESTHESIOLOGY
Second Line : 3901 RAINBOW BLVD MS 3021
City : KANSAS CITY
State : KS
Zip : 66160-0001
Country : US
Telephone Number : 913-588-6670
Fax Number : 913-588-3365
Provider Business Practice Location Address
First Line : DEPT OF ANESTHESIOLOGY
Second Line : 3901 RAINBOW BLVD MS 3021
City : KANSAS CITY
State : KS
Zip : 66160-0001
Country : US
Telephone Number : 913-588-6670
Fax Number : 913-588-3365
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2005
Last Update Date : 09/20/2011

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