Individual
DR. CODY GUNNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 N ROCK RD STE 100, DERBY, KS 67037-3587
(316) 789-9999
Mailing address
1120 N ROCK RD STE 100, DERBY, KS 67037-3587
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61238
KS
Other
Enumeration date
08/11/2015
Last updated
08/23/2023
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