Conde, Kenneth Jude

Conde, Kenneth Jude is an sole proprietor health care provider with primary practice located at 4510 Frederick Ave , Saint Joseph MO 64506-3238. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Conde, Kenneth Jude can be contacted via phone (816) 364-9992.

Contact Information

Primary practice address
4510 Frederick Ave Saint Joseph MO 64506-3238
Phone: (816) 364-9992
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 154996 Missouri

Profile Details

NPI number 1033126172
LBN Legal business name Conde, Kenneth Jude
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2006
Last updated Sep 10th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033126172 NPPES
Missouri Other 10001878100 COMMUNITY HEALTH PLAN
Missouri Other 26162079 COMMUNITY HEALTH PLAN
Missouri MEDICAID 914815543 COMMUNITY HEALTH PLAN
Missouri MEDICAID 100352140F COMMUNITY HEALTH PLAN
Missouri Other 145374 COMMUNITY HEALTH PLAN
Missouri Other 16274 COMMUNITY HEALTH PLAN
Missouri Other P00402322 COMMUNITY HEALTH PLAN
Missouri Other P00365479 COMMUNITY HEALTH PLAN

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