Individual
MRS. GUDRUN OLAFSDOTTIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA-C
Contact information
Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 932-3679
Mailing address
901 E 104TH ST, MAILSTOP 400N, KANSAS CITY, MO 64131-4517
(816) 502-8756
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
005674
GA
367H00000X
Anesthesiologist Assistant
Primary
2014005395
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2014005395
MO LICENSE
MO
05
—
443554039A
—
GA
Enumeration date
04/01/2009
Last updated
02/10/2017
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