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NPI Code Detail

MEDICARE: FRANK R REESE JR. CRNA

MEDICARE: FRANK R REESE JR. 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 Anesthetist023086KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1015489OTHERKSBCBS ID

General Provider Information

NPI Number : 1902853328
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANK R REESE JR. CRNA
Provider Business Mailing Address
First Line : 730 SMOKY VALLEY RD
Second Line :
City : LINDSBORG
State : KS
Zip : 67456-5040
Country : US
Telephone Number : 785-227-3972
Fax Number : 785-227-4130
Provider Business Practice Location Address
First Line : 605 W LINCOLN ST
Second Line :
City : LINDSBORG
State : KS
Zip : 67456-2328
Country : US
Telephone Number : 785-227-3972
Fax Number : 785-227-4130
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2006
Last Update Date : 07/08/2007

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