Individual
DR. KATELYN ROSE MCANANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3101 BROADWAY BLVD, PCC, 2ND FLOOR WEST/YELLOW, KANSAS CITY, MO 64111-2659
(816) 960-3080
(816) 302-9939
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
04-38865
KS
208000000X
Pediatrics Physician
Primary
2016011603
MO
Other
Enumeration date
06/10/2013
Last updated
06/29/2016
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