| Mr Keanon Walker, CRNA | |
|
444 Four States Dr, Suite 2, Galena, KS 66739-4324 | |
| (620) 783-4000 | |
| (620) 783-4188 |
| Full Name | Mr Keanon Walker |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 11 Years |
| Location | 444 Four States Dr, Galena, Kansas |
| 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 |
|---|---|---|---|
| 1609250083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 557353 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Specialty Hospital Southeast Kansas | Galena, KS | Hospital |
| Siloam Springs Regional Hospital | Siloam springs, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Four States Anesthesia Services Llc | 8729973284 | 25 |
| Capital Anesthesia Solutions Of Arkansas, Llc | 5395159313 | 54 |
| Entity Name | Four States Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053382929 PECOS PAC ID: 8729973284 Enrollment ID: O20100505000635 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Keanon Walker, CRNA 444 Four States Dr, Suite 2, Galena, KS 66739-4324 Ph: (620) 783-4000 | Mr Keanon Walker, CRNA 444 Four States Dr, Suite 2, Galena, KS 66739-4324 Ph: (620) 783-4000 |
Danielle R Jackson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 444 Four States Dr, Suite 2, Galena, KS 66739 Phone: 620-783-4441 | |
Jonathan Bryan Sperry, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 444 Four States Dr, Suite 1, Galena, KS 66739 Phone: 620-783-4000 | |
James Edward Miles, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1619 K66, Galena, KS 66739 Phone: 417-358-8121 | |
Kylie D Jennings, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 444 Four States Dr, Galena, KS 66739 Phone: 620-783-4441 | |
Kevin Hal Liljenquist, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 444 Four States Dr Ste 2, Galena, KS 66739 Phone: 620-783-4000 |