# DR. GERALD K. GENTRY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1952518706
- **Gender:** Man
- **Credential:** PH.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | LP508 | KS | Yes |
| 103T00000X | Psychologist | R0070 (INACTIVE) | MO | — |

## Other

- **Enumeration date:** 05/17/2007
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 08364020 | BC-BS OF KANSAS CITY | KS |
| 01 | — | 119836 | BC-BS OF KANSAS | KS |