Dr Kevin Luke Kanallakan, CRNA | |
6420 Clayton Rd, Richmond Heights, MO 63117-1811 | |
(314) 768-8000 | |
Not Available |
Full Name | Dr Kevin Luke Kanallakan |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 6 Years |
Location | 6420 Clayton Rd, Richmond Heights, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710466305 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 2018029592 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Osf Saint Anthony's Health Center | Alton, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
G And G Anesthesia Llc | 4981912607 | 70 |
G And G Anesthesia Llc | 4981912607 | 70 |
Entity Name | Anesthesia Partners Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043270465 PECOS PAC ID: 3870557986 Enrollment ID: O20041118000270 |
Entity Name | G & G Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487020111 PECOS PAC ID: 4981912607 Enrollment ID: O20210204002043 |
Mailing Address | Practice Location Address |
---|---|
Dr Kevin Luke Kanallakan, CRNA 78 Depot Dr, Glen Carbon, IL 62034-2755 Ph: () - | Dr Kevin Luke Kanallakan, CRNA 6420 Clayton Rd, Richmond Heights, MO 63117-1811 Ph: (314) 768-8000 |
Alex Schoenbeck, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6420 Clayton Rd, Richmond Heights, MO 63117 Phone: 314-768-8000 | |
Jacob Kirtley, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6420 Clayton Rd, Richmond Heights, MO 63117 Phone: 314-768-8000 |