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Individual

DANIELLE ANNE THORNBURG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT DEPT, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939

Taxonomy

Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
04-4988
KS
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
2024035863
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04-4988
KS
05
2024035863
MO
Enumeration date
04/07/2017
Last updated
09/30/2024
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