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NPI Code Detail

MEDICARE: GUARDIAN ANESTHESIA SPECIALISTS, LLC

MEDICARE: GUARDIAN ANESTHESIA SPECIALISTS, LLC
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
1207L00000XAnesthesiology PhysicianMO
2367500000XCertified Registered Nurse Anesthetist078933MO

General Provider Information

NPI Number : 1740611789
Entity Type Code : Organization
Provider Name (Legal Business Name) : GUARDIAN ANESTHESIA SPECIALISTS, LLC
Provider Business Mailing Address
First Line : PO BOX 413186
Second Line :
City : KANSAS CITY
State : MO
Zip : 64141-3186
Country : US
Telephone Number : 888-243-4478
Fax Number : 913-647-0575
Provider Business Practice Location Address
First Line : 5151 NW 88TH ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64154-2700
Country : US
Telephone Number : 816-420-3939
Fax Number :
Authorized Official
Title or Position : PRESIDENT/AUTHORIZED OFFICIAL
Name : ELISA A MCKAY
Credential : CRNA
Telephone Number : 913-262-2277
Provider Enumeration Date : 12/02/2013
Last Update Date : 04/13/2016

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Directions to “GUARDIAN ANESTHESIA SPECIALISTS, LLC ” Practice Location

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