Individual
LAURA STALLBAUMER DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8717 W 110TH ST, SUITE 600, OVERLAND PARK, KS 66210-2144
(913) 428-2900
Mailing address
6715 W 156TH TER, OVERLAND PARK, KS 66223-3597
(913) 523-4561
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14100436072
KS
163W00000X
Registered Nurse
2009010446
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
43557080072
KS
Other
Enumeration date
04/19/2012
Last updated
10/22/2012
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