# REBECCA L. GERNON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1053342956
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 04-31472 | KS | Yes |

## Other

- **Enumeration date:** 07/06/2006
- **Last updated:** 05/02/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3591024 | BCBSKC | — |
| 01 | — | 75316418400 | CHP | — |
| 01 | — | 9339760006 | CIGNA | — |
| 01 | — | P00410901 | RR MEDICARE | — |