Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 2016024524 | MO |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 2016024524 | MO |
NPI | 1033558812 |
---|---|
Provider Name | Anna Elizabeth Cundiff |
First Address | Kansas City, MO 64184-3966 |
Second Address | Columbia, MO 65212-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2013 |
Last Update Date | 12/10/2021 |