Individual
MARK C GELATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
R1P61
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100160020A
—
KS
05
—
206955007
—
MO
Enumeration date
04/27/2006
Last updated
06/13/2024
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