Individual
ANNA ILIVICKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 RAINBOW BLVD # MS 2028, KANSAS CITY, KS 66160-2741
(913) 588-6245
(913) 945-7437
Mailing address
3901 RAINBOW BLVD # MS 2028, KANSAS CITY, KS 66160-8500
(913) 588-6245
(913) 945-7437
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
94-12180
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/20/2024
Last updated
06/19/2025
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