Individual
MADELINE FENNESSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2330 E MEYER BLVD. SUITE 411, KANSAS CITY, MO 64132
(816) 363-2500
Mailing address
2330 E MEYER BLVD. SUITE 411, KANSAS CITY, MO 64132
(816) 363-2500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2023008001
MO
363L00000X
Nurse Practitioner
53-82200-071
KS
363L00000X
Nurse Practitioner
TMP-161410
KS
363LF0000X
Family Nurse Practitioner
TMP-161410
KS
Other
Enumeration date
05/08/2023
Last updated
05/18/2023
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