Individual
DR. VANPRASEUTH FONGNALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111
(816) 932-3679
(816) 932-9089
Mailing address
901 E 104TH ST, MAILSTOP 400S, KANSAS CITY, MO 64131
(816) 502-8782
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2014025191
MO
207L00000X
Anesthesiology Physician
Primary
3724
WI
207L00000X
Anesthesiology Physician
CDRH.0068942
CO
207L00000X
Anesthesiology Physician
D0068983
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029695
KAISER COMMERCIAL NUMBER
CO
05
—
100257947
—
WI
05
—
9000206080
—
CO
Enumeration date
02/13/2007
Last updated
03/28/2025
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