| 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 | 7 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 | 53 |
| G And G Anesthesia Llc | 4981912607 | 53 |
| 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 |