Kevin James Dahl, CRNA | |
1100 N Kentucky Ave, West Plains, MO 65775-2029 | |
(417) 256-9111 | |
Not Available |
Full Name | Kevin James Dahl |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1100 N Kentucky Ave, West Plains, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306570999 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 2022022669 (Missouri) | Primary |
Entity Name | Ozarks Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831115641 PECOS PAC ID: 3870491863 Enrollment ID: O20040209001035 |
Mailing Address | Practice Location Address |
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Kevin James Dahl, CRNA 2805 Gleghorn St, West Plains, MO 65775-1861 Ph: () - | Kevin James Dahl, CRNA 1100 N Kentucky Ave, West Plains, MO 65775-2029 Ph: (417) 256-9111 |
Richard Harris, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1100 N Kentucky Ave, West Plains, MO 65775 Phone: 417-256-9111 | |
Jordan Steuart, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1100 N Kentucky Ave, West Plains, MO 65775 Phone: 417-256-9111 | |
Mrs. Paula Kay Bennett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1100 N Kentucky Ave, West Plains, MO 65775 Phone: 417-257-6000 | |
Thomas M Ross, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1100 N Kentucky Ave, West Plains, MO 65775 Phone: 417-256-9111 | |
Andrew Dean, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1100 N Kentucky Ave, West Plains, MO 65775 Phone: 417-256-9111 | |
Landry Paxton Strong, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1100 N Kentucky Ave, West Plains, MO 65775 Phone: 417-256-9111 |