Individual
JENNIFER SUSAN DOTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2677
(816) 404-1000
Mailing address
5105 WYANDOTTE ST APT 2N, KANSAS CITY, MO 64112-2435
(816) 536-5406
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2013019481
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
085340-23
NH
Other
Enumeration date
04/09/2021
Last updated
08/11/2021
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