| Kayla Marie Spaulding, CRNA | |
|
1 S Bryant Ave, Edmond, OK 73034-6309 | |
| (405) 314-6100 | |
| Not Available |
| Full Name | Kayla Marie Spaulding |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1 S Bryant Ave, Edmond, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760180814 | NPI | - | NPPES |
| 220749 | Other | OK | APRN-CRNA LICENSE |
| 143217 | Other | CRNA CERTIFICATION | |
| R0115807 | Other | OK | RN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 143217 (Oklahoma) | Primary |
| 163W00000X | Registered Nurse | R0115807 (Oklahoma) | Secondary |
| Entity Name | Anesthesia Medical Professionals Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962785931 PECOS PAC ID: 5991970279 Enrollment ID: O20111215000187 |
| Mailing Address | Practice Location Address |
|---|---|
| Kayla Marie Spaulding, CRNA 1513 Washington St, Edmond, OK 73034-4906 Ph: (580) 830-0480 | Kayla Marie Spaulding, CRNA 1 S Bryant Ave, Edmond, OK 73034-6309 Ph: (405) 314-6100 |
Brian Dale Mackey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 21899 Marbella Dr, Edmond, OK 73012 Phone: 405-501-4244 | |
Cory Watson, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4801 Integris Pkwy, Edmond, OK 73034 Phone: 405-657-3000 | |
Travis Thompson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3324 French Park Dr, Suite D, Edmond, OK 73034 Phone: 405-715-3610 Fax: 405-715-3612 | |
Dr. Alexander Inkhamheng, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4801 Integris Pkwy, Edmond, OK 73034 Phone: 405-657-3000 |