Individual
KATHERINE ANNE BONESSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
2401 GILLHAM RD, FETAL CARDIOLOGY: 3RD FLOOR HALL TOWER, KANSAS CITY, MO 64108-4619
(816) 234-3209
Mailing address
2401 GILLHAM RD, FETAL CARDIOLOGY: 3RD FLOOR HALL TOWER, KANSAS CITY, MO 64108-4619
(816) 234-3209
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
2016021264
MO
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
77298
KS
Other
Enumeration date
07/26/2016
Last updated
01/08/2018
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