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:PO BOX 503
Mailing Address - Street 2:
Mailing Address - City:QUECHEE
Mailing Address - State:VT
Mailing Address - Zip Code:05059-0503
Mailing Address - Country:US
Mailing Address - Phone:913-278-9981
Mailing Address - Fax:
Practice Address - Street 1:411 WOOD RD
Practice Address - Street 2:
Practice Address - City:QUECHEE
Practice Address - State:VT
Practice Address - Zip Code:05059-3059
Practice Address - Country:US
Practice Address - Phone:913-278-9981
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2025-09-22
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