Individual
MARY SHANNON O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4320 WORNALL RD STE 240, KANSAS CITY, MO 64111-5955
(816) 932-4655
(816) 932-7920
Mailing address
901 E 104TH ST, MAILSTOP 400, KANSAS CITY, MO 64131
(816) 599-9499
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015008054
MO
363LF0000X
Family Nurse Practitioner
5376698061
KS
Other
Enumeration date
06/10/2015
Last updated
12/06/2017
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