Individual
KIMBERLY DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4990 NE VIVION RD, KANSAS CITY, MO 64119-2935
(866) 389-2727
Mailing address
315 W 75TH ST, KANSAS CITY, MO 64114-5738
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2016041687
MO
363LF0000X
Family Nurse Practitioner
Primary
2016041687
MO
Other
Enumeration date
02/17/2016
Last updated
09/18/2024
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