Individual
MR. JOHN R DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC;LAT
Contact information
Practice address
514 SE GRANADA ST, LEES SUMMIT, MO 64063-8500
(816) 896-1117
Mailing address
514 SE GRANADA ST, LEES SUMMIT, MO 64063-8500
(816) 896-1117
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
TR00031
MO
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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