Individual
ANN OMOROVBIYE IDEMUNDIA-BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
816663
SC
208M00000X
Hospitalist Physician
CP134
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
321114199A
—
GA
01
—
373267
AETNA
GA
01
—
589412
BCBS - LMAC
GA
01
—
894211
BCBS - EAPC
GA
Enumeration date
09/08/2006
Last updated
05/09/2025
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