| 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 |