Individual
REBECCA L. GERNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7301 E FRONTAGE RD, SUITE 100, SHAWNEE MISSION, KS 66204-1654
(913) 789-1940
(913) 384-4093
Mailing address
15977 COLLECTION CENTER DR, CHICAGO, IL 60693-0159
(800) 737-5654
(423) 855-5046
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-31472
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3591024
BCBSKC
—
01
—
75316418400
CHP
—
01
—
9339760006
CIGNA
—
01
—
P00410901
RR MEDICARE
—
Enumeration date
07/06/2006
Last updated
05/02/2014
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