Individual
REBECCA N GAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12906 GODDARD AVE, OVERLAND PARK, KS 66213-3487
(913) 897-0260
(913) 897-0260
Mailing address
12906 GODDARD ST, OVERLAND PARK, KS 66214
(913) 897-0260
(913) 897-0260
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
04 22013
KS
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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