Provider Demographics
NPI:1831537059
Name:MCANANY, KATELYN ROSE (MD)
Entity type:Individual
Prefix:DR
First Name:KATELYN
Middle Name:ROSE
Last Name:MCANANY
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Gender:F
Credentials:MD
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Mailing Address - Street 1:2401 GILLHAM RD
Mailing Address - Street 2:PROVIDER ENROLLMENT
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-4619
Mailing Address - Country:US
Mailing Address - Phone:816-701-5200
Mailing Address - Fax:816-302-9939
Practice Address - Street 1:3101 BROADWAY BLVD
Practice Address - Street 2:PCC, 2ND FLOOR WEST/YELLOW
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-2659
Practice Address - Country:US
Practice Address - Phone:816-960-3080
Practice Address - Fax:816-302-9939
Is Sole Proprietor?:No
Enumeration Date:2013-06-10
Last Update Date:2016-06-29
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Provider Licenses
StateLicense IDTaxonomies
MO2016011603208000000X
KS04-38865208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics