NPI 1497723225 · live from the CMS NPI Registry
Central Kansas Anesthesia PA
Nurse Anesthetist, Certified Registered in Great Bend, KS. National Provider Identifier 1497723225, active.
NPI record
| NPI | 1497723225 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Anesthetist, Certified Registered 367500000X |
| Practice location | 3515 Broadway Ave, Great Bend, KS 67530 |
| Practice phone | 620-792-2511 |
| Mailing address | Po Box 1591, Great Bend, KS 67530 |
| Enumerated | March 9, 2006 |
| Last updated | September 11, 2025 |
| Authorized official | David Gillenwater, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology | 207L00000X | — |
| Nurse Anesthetist, Certified Registered primary | 367500000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.