Individual
ANDREW D. DONEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204-4004
(913) 632-2230
(913) 632-2297
Mailing address
PO BOX 411895, KANSAS CITY, MO 64141-1895
(913) 632-2230
(913) 632-2297
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95931
KS
367500000X
Certified Registered Nurse Anesthetist
2022040692
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
556946
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200640590A
—
KS
01
—
43858018
BCBS KC
KS
01
—
P00843189
RR MEDICARE
KS
Enumeration date
02/01/2010
Last updated
01/06/2023
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