VANPRASEUTH FONGNALY

KANSAS CITY, MO
NPI1265574461
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: WI  3724)
Additional Taxonomies207L00000X Anesthesiology
(Licence: MO  2014025191)
207L00000X Anesthesiology
(Licence: MD  D0068983)
Enumeration Date2007-02-13
Last Update Date2024-04-12
Business Address
VANPRASEUTH FONGNALY M.D.
4401 WORNALL RD
KANSAS CITY, MO 64111
Phone number: 816-932-3679
Mailing Address
VANPRASEUTH FONGNALY M.D.
901 E 104TH ST MAILSTOP 400S
KANSAS CITY, MO 64131
Phone number: 816-502-8782