Individual
MRS. MARY ANNE KUCERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
2021024668
MO
363LN0005X
Critical Care Neonatal Nurse Practitioner
53-80256-101
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53-80256-101
—
KS
Enumeration date
06/25/2021
Last updated
11/26/2024
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