Mr. Channon Lawrence McKibben
Mr. Channon Lawrence McKibben is a Certified Registered Nurse Anesthetist (CRNA) in Marengo, Iowa. Qualified in 2019, 7 years ago. Practices with Marengo Memorial Hospital, a 36-clinician group and accepts Medicare assignment. Licensed in Iowa.
- Years since qualifying
- 7
- Licensed in
- IA
- In the registry since
- 2017
Practice location Address checks out
300 W May StMarengo, IA 52301-1261
Phone: (319) 642-5543
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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 · Licence 117476 (IA) |
|---|
Record details
| NPI number | 1487189429 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 27, 2017 |
| Last updated in NPPES | July 9, 2019 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Marengo Memorial Hospital — 36 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Marengo
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Julia Clara Dennis, CRNA
300 W May St, Marengo, IA 52301-1261 · (319) 642-5543