Individual
DENNIS M MCDONOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2313 NW SUMMERFIELD DR, LEES SUMMIT, MO 64081-1921
(816) 918-3225
Mailing address
2313 NW SUMMERFIELD DR, LEES SUMMIT, MO 64081-1921
(816) 918-3225
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
061827
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029516
AANA COUNCIL NUMBER
—
05
—
1811945405
—
MO
05
—
540568508
—
MO
05
—
912682176
—
MO
Enumeration date
05/05/2006
Last updated
10/05/2013
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