Healthcare Provider Details

I. General information

NPI: 1447393897
Provider Name (Legal Business Name): PAULA K CONNERY RN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 09/19/2023
Certification Date: 09/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 CAMBRIDGE ST BH B320, MS 1019
KANSAS CITY KS
66160-8501
US

IV. Provider business mailing address

14607 HILLS RD
KEARNEY MO
64060-8785
US

V. Phone/Fax

Practice location:
  • Phone: 913-588-1227
  • Fax:
Mailing address:
  • Phone: 816-628-5212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SE0003X
TaxonomyEmergency Clinical Nurse Specialist
License Number111426
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number111426
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: