Healthcare Provider Details

I. General information

NPI: 1396275210
Provider Name (Legal Business Name): ANNA DONOVAN LOUIE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2017
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10740 NALL AVE STE 410
OVERLAND PARK KS
66211-1367
US

IV. Provider business mailing address

3901 RAINBOW BLVD MAIL STOP 2005 (DEPARTMENT OF SURGERY)
KANSAS CITY KS
66160-8500
US

V. Phone/Fax

Practice location:
  • Phone: 913-588-3448
  • Fax:
Mailing address:
  • Phone: 913-588-3448
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number04-54032
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberLP04264
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: