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GERALD LYNN KUECKELHAN CRNA
NPI 1205822152
Nurse Anesthetist, Certified Registered in Jefferson City, MO

Active since September 26, 2005
2505 MISSION DR, JEFFERSON CITY, MO 65109(573) 636-3483(573) 636-3386 Get Directions Write a Review

NPPES record last updated: January 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gerald Lynn Kueckelhan Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GERALD LYNN KUECKELHAN CRNA (NPI 1205822152) is an individual nurse anesthetist, certified registered in Jefferson City, Missouri, licensed in Missouri (076407) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1205822152
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameGERALD LYNN KUECKELHANCredential: CRNA
Location Address2505 MISSION DRJefferson City, MO 65109-9508
Mailing Address1445 Christy DrJefferson City, MO 65101-2853 · (573) 636-3483 · Fax (573) 636-5315
Phone(573) 636-3483
Fax(573) 636-3386
Sole ProprietorNo
Enumeration DateSeptember 26, 2005
Last NPPES UpdateJanuary 26, 2016
✔ NPI 1205822152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MO · 076407
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
2505 MISSION DR, Jefferson City, MO 65109
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Other Identifiers 3

Medicaid913912416MO
Medicare PIN014060140MO
Other430050775MO · Rr Medicare

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SSM REGIONAL HEALTH SERVICES
Clinic/Center (Multi-Specialty)
2505 MISSION DR
JEFFERSON CITY, MO 65109
Cole County (573) 761-7000
SSM REGIONAL HEALTH SERVICES
General Practice
2505 MISSION DR, SUITE 210
JEFFERSON CITY, MO 65109
Cole County (573) 681-3000
HANNA JO FINDLEY CRNA
Nurse Anesthetist, Certified Registered
2505 MISSION DR
JEFFERSON CITY, MO 65109
Cole County (573) 636-3483
JOANNA P. SMITH PA-C
Physician Assistant
2505 MISSION DR, SUITE 200
JEFFERSON CITY, MO 65109
Cole County (573) 681-3759
CHAD ZEGLIS M.D.
Internal Medicine
2505 MISSION DR
JEFFERSON CITY, MO 65109
Cole County (573) 681-3396
AUSTIN BLAKE KING MD
Internal Medicine (Pulmonary Disease)
2505 MISSION DR
JEFFERSON CITY, MO 65109
Cole County (573) 681-3000
MR. KEVIN PAUL HUFFMAN PAC
Physician Assistant (Surgical)
2505 MISSION DR, SUITE 200
JEFFERSON CITY, MO 65109
Cole County (573) 681-3759
ZANE NOEL HARTGRAVES CRNA
Nurse Anesthetist, Certified Registered
2505 MISSION DR
JEFFERSON CITY, MO 65109
Cole County (573) 636-3483

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gerald Kueckelhan's NPI number?

The NPI number for Gerald Kueckelhan is 1205822152. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Where is Gerald Kueckelhan located?

Gerald Kueckelhan practices at 2505 Mission Dr, Jefferson City, MO 65109. The listed phone number is (573) 636-3483.

What is Gerald Kueckelhan's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Gerald Kueckelhan was last updated on January 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.