Mr. Phanthavong Boon, RN, CRNA
Mr. Phanthavong Boon, RN, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Fort Riley, Kansas. Qualified in 2022, 4 years ago. Practices with Santiam Memorial Hospital, a 125-clinician group and accepts Medicare assignment. Licensed in Kansas, Oregon and Virginia.
- Years since qualifying
- 4
- Licensed in
- KS, OR, VA
- In the registry since
- 2005
- Specialties on file
- 5
What do these letters mean?
Practice location Address checks out
650 Huebner RdFort Riley, KS 66442-4030
Phone: (785) 239-7000
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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 24179395 (VA) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence 202201644RN (OR) |
| Registered Nurse | Taxonomy 163W00000X · Licence 14-153121-072 (KS) |
| Registered Nurse | Taxonomy 163W00000X · Licence 0001186892 (VA) |
| Certified Registered Nurse Anesthetist | Taxonomy 367500000X · Licence 43-557812-072 (KS) |
Record details
| NPI number | 1184607285 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | RN , CRNA |
| Sole proprietor | Yes |
| NPI enumerated | November 22, 2005 |
| Last updated in NPPES | February 16, 2022 |
| Certification date | February 16, 2022 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Santiam Memorial Hospital — 125 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Fort Riley
-
Marcella Ann Griffith, ARNP
650 Huebner Rd, Fort Riley, KS 66442-4030 · (785) 239-7084
-
Mr. Dean Lee Grisham, CRNA
650 Huebner Rd, Fort Riley, KS 66442-4030 · (785) 239-7528
-
Mrs. Ingelin Lono Leslie, NP
Building 7665 Normandy Road Caldwell Clinic, Fort Riley, KS 66442 · (785) 239-9859
-
Mrs. Nancy Samsel
670 Warrior Dr, Fort Riley, KS 66442-2759 · (785) 240-7196