| Mr Kenneth Jude Conde, CRNA | |
|
4510 Frederick Ave, Saint Joseph, MO 64506-3238 | |
| (816) 364-9992 | |
| Not Available |
| Full Name | Mr Kenneth Jude Conde |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 4510 Frederick Ave, Saint Joseph, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033126172 | NPI | - | NPPES |
| 10001878100 | Other | MO | COMMUNITY HEALTH PLAN |
| 26162079 | Other | MO | BLUE CROSS BLUE SHIELD KANSAS CITY |
| 914815543 | Medicaid | MO | |
| 100352140F | Medicaid | KS | |
| 145374 | Other | KS | BLUE CROSS BLUE SHIELD KANSAS |
| 16274 | Other | KS | PREFERRED HEALTH SYSTEMS |
| P00402322 | Other | KS | RAILROAD MEDICARE |
| P00365479 | Other | MO | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 154996 (Missouri) | Primary |
| Entity Name | Saint Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093263717 PECOS PAC ID: 3577476894 Enrollment ID: O20031111000818 |
| Entity Name | Professional Anesthetic Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922053461 PECOS PAC ID: 2365425865 Enrollment ID: O20040607001480 |
| Entity Name | Excel Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366559130 PECOS PAC ID: 1850397787 Enrollment ID: O20061017000539 |
| Entity Name | Digestive Health Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801286844 PECOS PAC ID: 9739494832 Enrollment ID: O20150819006984 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kenneth Jude Conde, CRNA 1701 S 45th St, Suite A, Kansas City, KS 66106-2527 Ph: (913) 721-3641 | Mr Kenneth Jude Conde, CRNA 4510 Frederick Ave, Saint Joseph, MO 64506-3238 Ph: (816) 364-9992 |
Christopher Wilson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4510 Frederick Ave, Saint Joseph, MO 64506 Phone: 816-364-9992 | |
Samuel L Jeffers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-1365 Fax: 816-271-6753 | |
Aloysia Lonergan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6350 Fax: 816-271-6753 | |
Sylvia Brainoo, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6350 Fax: 816-271-6753 | |
Robert Neil Fisher, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6350 Fax: 816-271-6753 | |
Mrs. Susan Klosterman-finke, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4301 Rainbow Ct, Saint Joseph, MO 64506 Phone: 816-262-0543 Fax: 816-279-3118 |