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Individual

DR. JOHN A REANEY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

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
207L00000X
Anesthesiology Physician
Primary
0427748
KS
207L00000X
Anesthesiology Physician
106533
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050063983
MO RR MEDICARE NUMBER
MO
05
100160440B
MO
05
101160440D
KS
05
207641010
MO
05
207641044
KS
01
20990022
BCBS NUMBER
KS
01
20990132
BCBS NUMBER
MO
01
P00018703
KS RR MEDICARE NUMBER
KS
Enumeration date
05/05/2006
Last updated
07/09/2007
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