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Individual

DR. MANDY M SANDER-PRATHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
19600 E 39TH ST S, INDEPENDENCE, MO 64057-2301
(816) 698-7000
(913) 428-2951
Mailing address
8717 W 110TH ST STE 600, OVERLAND PARK, KS 66210-2126
(913) 428-2900
(913) 428-2951

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0431940
KS
207L00000X
Anesthesiology Physician
Primary
2011001622
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200399740B
KS
05
201371002
MO
Enumeration date
07/22/2006
Last updated
04/21/2026
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