Individual
MARY E O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
12300 METCALF AVE, ANESTHESIA DEPT, OVERLAND PARK, KS 66213-1324
(816) 389-6030
(816) 389-6034
Mailing address
9233 WARD PKWY, SUITE 230, KANSAS CITY, MO 64114-3366
(816) 389-6030
(816) 389-6034
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
55153
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200000930A
—
KS
01
—
33209017
BCBS NUMBER
KS
05
—
918782103
—
KS
01
—
P00177156
RR MEDICARE NUMBER
KS
Enumeration date
05/26/2006
Last updated
02/12/2008
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