Individual
MARY DOREEN GODORNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3200 STRONG AVE, KANSAS CITY, KS 66106-2116
(913) 262-0550
Mailing address
3200 STRONG AVE, KANSAS CITY, KS 66106-2116
(913) 262-0550
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2021011075
MO
363LF0000X
Family Nurse Practitioner
Primary
5380130112
KS
Other
Enumeration date
12/17/2020
Last updated
05/04/2021
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