Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Leavenworth Anesthesia PA

Organization Certified Registered Nurse Anesthetist · NPI 1679555262

Leavenworth Anesthesia PA is a Certified Registered Nurse Anesthetist in Leavenworth, Kansas. Registered with an NPI since 2005.

In the registry since
2005
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

605 Shawnee St
Leavenworth, KS 66048-1958
Phone: (913) 680-0812
Fax: (913) 680-1445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X

Record details

NPI number1679555262
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jean Covillo — President · (913) 680-0812
Other names Mid-America Anesthesia Care
NPI enumeratedNovember 18, 2005
Last updated in NPPESApril 20, 2008
Mailing address605 Shawnee St, Leavenworth, KS 66048-1958

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