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NPI Code Detail

MEDICARE: PATRICK G DONNELLY CRNA

MEDICARE: PATRICK G DONNELLY CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist43-557012KS
2367500000XCertified Registered Nurse Anesthetist20000151371MO

General Provider Information

NPI Number : 1255591178
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK G DONNELLY CRNA
Provider Business Mailing Address
First Line : 8717 W 110TH ST STE 600
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66210-2126
Country : US
Telephone Number : 913-428-2900
Fax Number : 913-428-2951
Provider Business Practice Location Address
First Line : 2800 CLAY EDWARDS DR
Second Line :
City : NORTH KANSAS CITY
State : MO
Zip : 64116-3220
Country : US
Telephone Number : 816-221-5050
Fax Number : 816-471-1247
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2008
Last Update Date : 04/08/2026

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Directions to “ PATRICK G DONNELLY CRNA” Practice Location

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