Provider Demographics
NPI:1891288783
Name:KAHRE, SCOTT A (CRNA)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:A
Last Name:KAHRE
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:13515 BARRETT PARKWAY DR STE 170
Mailing Address - Street 2:
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63021-5870
Mailing Address - Country:US
Mailing Address - Phone:314-775-2811
Mailing Address - Fax:314-775-2816
Practice Address - Street 1:400 S WOODS MILL RD STE 140
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-3427
Practice Address - Country:US
Practice Address - Phone:314-485-1101
Practice Address - Fax:314-485-1104
Is Sole Proprietor?:No
Enumeration Date:2018-06-14
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ239533367500000X
MO2018020174367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered