Individual
KENNA J O'SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2700 CLAY EDWARDS DR STE 240, NORTH KANSAS CITY, MO 64116-3254
(816) 691-2021
(816) 346-7690
Mailing address
2700 CLAY EDWARDS DR STE 240, NORTH KANSAS CITY, MO 64116-3254
(816) 691-2021
(816) 346-7690
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2009014619
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
2017023490
MO
Other
Enumeration date
04/24/2017
Last updated
05/22/2023
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