Mr. Channon Lawrence Mckibben is a Marengo, Iowa based nurse anesthetist with 6 years of experience as Anesthesia Administration. He completed he graduation in 2019. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Channon Lawrence Mckibben is 117476 for Anesthesia Administration in Iowa. his current practice location is 300 W May St, Marengo. Patients can reach him at 319-642-5543. Mr. Channon Lawrence Mckibben with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1487189429. Mr. Channon Lawrence Mckibben is a certified 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.
Complete Profile:
Mr. Channon Lawrence Mckibben speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Experience:
6+ years
Medical School Attended:
Other
Graduation Year:
2019
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
300 W May St, Marengo, Iowa, 52301-1261
Phone:
319-642-5543
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
6608208467
Enrollment ID:
I20191115001499
NPI Number:
1487189429
NPI Enumeration Date:
27 Apr, 2017
NPI Last Update On:
09 Jul, 2019
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Channon Lawrence Mckibben are as mentioned below.
License Number
Specialization
State
Status
117476
Anesthesia Administration
Iowa
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Compass Memorial Healthcare (161317)
Marengo, IA
Critical Access Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mr. Channon Lawrence Mckibben has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Marengo Memorial Hospital (0749199446)
18
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Channon Lawrence Mckibben such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
117476
Other
Iowa
RN LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
300 W May St, Marengo, Iowa
Zip:
52301-1261
Phone Number:
319-642-5543
Fax Number:
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Patients can reach Mr. Channon Lawrence Mckibben at 300 W May St, Marengo, Iowa or can call to book an appointment on 319-642-5543.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.