Peasley, Bethany K

Peasley, Bethany K is an individual health care provider with primary practice located at 2700 Clay Edwards Dr Ste 240 , North Kansas City MO 64116-3254. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Peasley, Bethany K can be contacted via phone (816) 691-2021.

Contact Information

Primary practice address
2700 Clay Edwards Dr Ste 240 North Kansas City MO 64116-3254
Phone: (816) 691-2021
Fax: (816) 346-7690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2004009016 Missouri

Profile Details

NPI number 1992851299
LBN Legal business name Peasley, Bethany K
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2007
Last updated Dec 17th, 2019 - about 6 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 1992851299 NPPES
Missouri MEDICAID 917459109

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