Healthcare Provider Details

I. General information

NPI: 1568386639
Provider Name (Legal Business Name): MARIANNA ELIZABETH DONZE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 MEADOWBROOK DR
KEARNEY MO
64060-7324
US

IV. Provider business mailing address

1251 NW BRIARCLIFF PARKWAY SUITE 200
KANSAS CITY MO
64116
US

V. Phone/Fax

Practice location:
  • Phone: 816-610-1712
  • Fax:
Mailing address:
  • Phone: 816-439-7819
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2026038035
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: