Individual
KENNEDY O'CONNOR RELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
9100 W 74TH ST, MERRIAM, KS 66204-4004
(913) 676-2370
Mailing address
9100 W 74TH ST, MERRIAM, KS 66204-4004
(913) 676-2370
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
558294
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/18/2025
Last updated
06/18/2025
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