Individual
CARLY JO MCCLELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10500 QUIVIRA RD, OVERLAND PARK, KS 66215-2306
(913) 541-5000
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
163WC0200X
Critical Care Medicine Registered Nurse
2016013693
MO
163WP0200X
Pediatric Registered Nurse
041513364
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
43-558212
KS
Other
Enumeration date
07/31/2023
Last updated
07/30/2024
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