Individual
DR. KATHRYN JO MCCONAHAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4400 BROADWAY ST STE 220, KANSAS CITY, MO 64111-3342
(816) 561-8100
(816) 561-8154
Mailing address
3005 W 83RD ST, LEAWOOD, KS 66206-1123
(913) 648-5238
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
01824
MO
103TC2200X
Clinical Child & Adolescent Psychologist
947
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01824
PSYCHOLOGIST LISCENSE
MO
01
—
947
LICENSED PSYCHOLOGIST
KS
Enumeration date
09/13/2006
Last updated
07/08/2007
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