Individual
TRUDY A. DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-6670
(913) 588-3365
Mailing address
PO BOX 411851, KANSAS CITY, MO 64141-1851
(913) 588-6670
(913) 588-3365
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
115730
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
54356
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100251280B
—
KS
05
—
917878712
—
MO
Enumeration date
12/07/2005
Last updated
08/15/2014
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