Organization
INDEPENDENCE WOMEN'S CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD K GUTKNECHT M.D. (PHYSICIAN)
(816) 478-0220
Entity
Organization
Contact information
Practice address
19550 E 39TH ST S, SUITE 300, INDEPENDENCE, MO 64057-2303
(816) 478-0220
(816) 795-3456
Mailing address
19550 E 39TH ST S, SUITE 300, INDEPENDENCE, MO 64057-2303
(816) 478-0220
(816) 795-3456
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500471404
—
MO
Enumeration date
01/24/2007
Last updated
06/23/2011
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