Search › Kansas › 367500000X
Jonathan Wildy, CRNA
NPI 1619137288 · on the registry since 2008
Practice
- Address
- 5101 W 73rd St
Prairie Village, KS 66208 - Phone
- (619) 600-1023
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Also registered as
- 163W00000X
390200000X
367500000X
367500000X - Licence states on file
- KS, CA, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-10-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas