Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CHANNON LAWRENCE MCKIBBEN
Active Sole ProprietorMR. CHANNON LAWRENCE MCKIBBEN is a Certified Nurse Anesthetist (CRNA) healthcare provider located in MARENGO, Iowa. NPI 1487189429 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · MARENGO, IA
Registration Details
- NPI Number
- 1487189429
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 27, 2017 (9.3027863556486 yrs)
- Last Updated
- Jul 9, 2019
- License
-
117476 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
300 W MAY STMARENGO, IA, 523011261Browse IA providers · Browse ZIP 52301
- Phone
- 3196425543
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
Other Certified Nurse Anesthetist (CRNA) Providers in MARENGO, IA
| Name | Credential | NPI |
|---|---|---|
| JULIA CLARA DENNIS | CRNA | 1730752601 |
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.