Individual
MARY MCCANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3507 S 4TH ST, LEAVENWORTH, KS 66048-5013
(913) 682-1000
Mailing address
10917 W 100TH ST, OVERLAND PARK, KS 66214-2510
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
62371
KS
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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