NPI 1639719180 · live from the CMS NPI Registry
Dynamos Anesthesia Services LLC
Anesthesiology in Leavenworth, KS. National Provider Identifier 1639719180, active.
NPI record
| NPI | 1639719180 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 3550 S 4th St, Leavenworth, KS 66048 |
| Practice phone | 913-680-6000 |
| Mailing address | 29800 W 127th St, Olathe, KS 66061 |
| Enumerated | January 13, 2020 |
| Last updated | November 7, 2024 |
| Authorized official | Kelly Gordon, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology primary | 207L00000X | — |
| Nurse Anesthetist, Certified Registered | 367500000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.