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Individual
DR. GERALD K. GENTRY
Active
Individual
DR. GERALD K. GENTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP508
KS
103T00000X
Psychologist
R0070 (INACTIVE)
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08364020
BC-BS OF KANSAS CITY
KS
01
—
119836
BC-BS OF KANSAS
KS
Enumeration date
05/17/2007
Last updated
07/08/2007
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