IndividualActive
John Connolly, M.D.
NPI 1962450312 · Geriatric Medicine (Internal Medicine) Physician · Independence, MO
Provider details
- NPI number
- 1962450312
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 104160 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
19550 E 39th St S
Suite 245
Independence, MO 64057-2303
Phone: (816) 373-0655
Fax: (816) 478-6374
Approximate (ZIP-level) locationGet directions
Mailing address
19550 E 39th St S
Independence, MO 64057-2303
Registry dates
- Enumerated
- 2006-05-05
- Last updated
- 2009-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.