Larry D Phipps, CRNA | |
1400 W 4th St, Coffeyville, KS 67337-3306 | |
(620) 252-1200 | |
Not Available |
Full Name | Larry D Phipps |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1400 W 4th St, Coffeyville, Kansas |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043288913 | NPI | - | NPPES |
100246250B | Medicaid | KS | |
430073196 | Other | RAILROAD MEDICARE | |
200017590A | Medicaid | OK | |
043406 | Other | KS | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | C001304 (Arkansas) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 54086 (Kansas) | Primary |
Mailing Address | Practice Location Address |
---|---|
Larry D Phipps, CRNA 9863 N Spring Valley Rd, Gravette, AR 72736-9735 Ph: (620) 423-0857 | Larry D Phipps, CRNA 1400 W 4th St, Coffeyville, KS 67337-3306 Ph: (620) 252-1200 |
Mrs. Julia Dawn Moses, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1400 W 4th St, Coffeyville, KS 67337 Phone: 620-251-1200 | |
Cole R Shawver, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1400 W 4th St, Coffeyville, KS 67337 Phone: 620-251-1200 | |
Mr. Logan Michael Bustos, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 101 S. Parkview St., Coffeyville, KS 67337 Phone: 620-252-8766 |