Individual
JOHN MCCLEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5830 NW BARRY RD, KANSAS CITY, MO 64154-2778
(816) 741-5348
(816) 880-6013
Mailing address
5830 NW BARRY RD, KANSAS CITY, MO 64154-2778
(816) 880-6440
(816) 880-6021
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
080195
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
080195
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100249730C
—
KS
01
—
430063419
RR MEDICARE
MO
05
—
912690450
—
MO
Enumeration date
03/16/2006
Last updated
03/30/2015
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