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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. PHANTHAVONG BOON, RN, CRNA

Active Sole Proprietor

MR. PHANTHAVONG BOON, RN, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in FORT RILEY, Kansas. NPI 1184607285 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · FORT RILEY, KS

Registration Details

NPI Number
1184607285
Provider Type
Individual
Gender
Male
NPI Issued
Nov 22, 2005 (20.688613888521 yrs)
Last Updated
Feb 16, 2022
Licenses
202201644RN (OR)
14-153121-072 (KS)
0001186892 (VA)
43-557812-072 (KS)
24179395 (VA)
Sole Proprietor
Yes

Practice Information

Address
650 HUEBNER RD
FORT RILEY, KS, 664424030
Browse KS providers · Browse ZIP 66442
Phone
7852397000
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X
Additional Specialty
Registered Nurse
Additional Specialty
Registered Nurse

Other Certified Nurse Anesthetist (CRNA) Providers in FORT RILEY, KS

Name Credential NPI
MRS. HEATHER LYNNETTE FRISBIE C.R.N.A. 1871555953
MAEVELYN ANDALIS O'DONNELL CRNA 1649340506
MR. DEAN LEE GRISHAM CRNA 1093882763
MRS. CHRISTEL LYNN LABARGE BURKE CRNA 1386892206
DENNIS W ARMSTRONG CRNA 1760704027
MR. SEAN M. POZAREK CRNA 1205145091
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.