| Kelley L Maughon, CRNA | |
|
98 Medical Dr, Hannibal, MO 63401-6885 | |
| (573) 406-1301 | |
| (573) 406-0511 |
| Full Name | Kelley L Maughon |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 98 Medical Dr, Hannibal, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811035231 | NPI | - | NPPES |
| 175118 | Other | MO | MO BLUE SHIELD |
| 83410 | Other | AR | ARK BLUE SHIELD |
| 917229908 | Medicaid | MO | |
| 158119001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 6003A (Kentucky) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 2002022036 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kelley L Maughon, CRNA Po Box 511, Hannibal, MO 63401-0511 Ph: (573) 406-1301 | Kelley L Maughon, CRNA 98 Medical Dr, Hannibal, MO 63401-6885 Ph: (573) 406-1301 |
Mr. Robert Curtis Ahrens, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6000 Hospital Drive, Hannibal, MO 63401 Phone: 573-248-1300 | |
Janell Dianne Martin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6000 Hospital Dr, Hannibal, MO 63401 Phone: 573-248-1300 Fax: 573-248-5196 | |
Nathan William Simmons, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6000 Hospital Dr, Hannibal, MO 63401 Phone: 573-248-5100 | |
Alex H Graham, DNAP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6000 Hospital Dr, Hannibal, MO 63401 Phone: 573-248-5115 Fax: 573-248-5196 |