Provider Demographics
NPI:1306847678
Name:KHU, REMI D (CRNA)
Entity Type:Individual
Prefix:MR
First Name:REMI
Middle Name:D
Last Name:KHU
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5204 W 162ND ST
Mailing Address - Street 2:
Mailing Address - City:STILWELL
Mailing Address - State:KS
Mailing Address - Zip Code:66085-7811
Mailing Address - Country:US
Mailing Address - Phone:913-209-4080
Mailing Address - Fax:
Practice Address - Street 1:5204 W 162ND ST
Practice Address - Street 2:
Practice Address - City:STILWELL
Practice Address - State:KS
Practice Address - Zip Code:66085-7811
Practice Address - Country:US
Practice Address - Phone:913-209-4080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO153804367500000X
KS55039367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
P01021406OtherRAILROAD MEDICARE
MOP01073705OtherRAILROAD MEDICARE