Individual
THOMAS DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
10500 QUIVIRA RD, OVERLAND PARK, KS 66215-2306
(913) 428-2900
(913) 428-2951
Mailing address
8717 W 110TH ST, SUITE 600, OVERLAND PARK, KS 66210-2144
(913) 428-2900
(913) 428-2951
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001252011
VA
163W00000X
Registered Nurse
14-138111
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
43-557464
KS
Other
Enumeration date
11/27/2016
Last updated
02/02/2017
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