Provider Demographics
NPI:1568146322
Name:SCHENKEL, STEVI LEE (CRNA)
Entity Type:Individual
Prefix:
First Name:STEVI
Middle Name:LEE
Last Name:SCHENKEL
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:STEVI
Other - Middle Name:LEE
Other - Last Name:DUNLAP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8007 W 55TH TER
Mailing Address - Street 2:
Mailing Address - City:MERRIAM
Mailing Address - State:KS
Mailing Address - Zip Code:66202-2217
Mailing Address - Country:US
Mailing Address - Phone:309-838-6173
Mailing Address - Fax:
Practice Address - Street 1:8007 W 55TH TER
Practice Address - Street 2:
Practice Address - City:MERRIAM
Practice Address - State:KS
Practice Address - Zip Code:66202-2217
Practice Address - Country:US
Practice Address - Phone:309-838-6173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-12
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSTMP-161747367500000X
MO2023021000367500000X
KS43-558100-042367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered