Komi N Agbodzie, CRNA
Nurse Anesthetist, Certified Registered in Wichita, KS. Individual provider (NPI-1).
NPI number1063842367
StatusActive
Last updated in NPPESMar 3, 2014
Details
- NPI
- 1063842367
- Entity type
- Individual (NPI-1)
- Name
- Komi N Agbodzie
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 22, 2013
- Last updated
- Mar 3, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 557215 | KS | Yes |
| 163W00000X | Registered Nurse | 2009029315 | MO | |
| 163W00000X | Registered Nurse | 13109541081 | KS |
Practice location
929 N Saint Francis StWichita, KS 67214-3821
Phone 316-268-5000 · Fax 316-291-4272
Mailing address
Po Box 2897Wichita, KS 67201-2897
Phone 800-374-5326 · Fax 800-374-7656
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