Kayla Jane Runkle, | |
9875 Hospital Dr, Maple Grove, MN 55369 | |
(763) 581-1000 | |
(763) 450-3986 |
Full Name | Kayla Jane Runkle |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 9875 Hospital Dr, Maple Grove, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023358546 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R 167267-3 (Minnesota) | Primary |
Entity Name | Anesthesiology, P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013960798 PECOS PAC ID: 9335033034 Enrollment ID: O20040212000459 |
Entity Name | St Cloud Outpatient Surgery Ltd |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1124084843 PECOS PAC ID: 6800877622 Enrollment ID: O20040527000651 |
Entity Name | Certified Anesthesia Care Co |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699736348 PECOS PAC ID: 9436439114 Enrollment ID: O20161215001488 |
Mailing Address | Practice Location Address |
---|---|
Kayla Jane Runkle, 9875 Hospital Dr, Maple Grove, MN 55369-4648 Ph: (763) 581-1000 | Kayla Jane Runkle, 9875 Hospital Dr, Maple Grove, MN 55369 Ph: (763) 581-1000 |
Mrs. Kelly Rae Peterson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9803 Vagabond Ln N, Maple Grove, MN 55311 Phone: 612-242-1341 | |
Jeffrey Merriam, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 9645 Grove Cir N Ste 250, Maple Grove, MN 55369 Phone: 763-201-8191 Fax: 763-201-8192 | |
Gregory S Mellesmoen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9645 Grove Cir N Ste 250, Maple Grove, MN 55369 Phone: 763-201-8191 Fax: 763-201-8192 |