Individual
GWENDOLYN ARNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4321 WASHINGTON ST, STE 1000, KANSAS CITY, MO 64111-5961
(816) 932-2307
Mailing address
PO BOX 504407, SAINT LOUIS, MO 63150-4407
(816) 932-7940
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
R5C04
MO
2085R0202X
Diagnostic Radiology Physician
0418805
KS
2085R0202X
Diagnostic Radiology Physician
Primary
R5C04
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100153570B
—
KS
05
—
202351714
—
MO
05
—
202351772
—
MO
05
—
2050520001
—
KS
01
—
300089670
RR MEDICARE
MO
01
—
P00152851
RR MEDICARE
MO
01
—
P00152870
RR MEDICARE
KS
Enumeration date
06/21/2005
Last updated
11/02/2012
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