Individual
DR. GARY SUTKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-5181
(816) 404-5175
Mailing address
2310 HOLMES ST, STE 800, KANSAS CITY, MO 64108-2602
(816) 218-2500
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2016019905
MO
207V00000X
Obstetrics & Gynecology Physician
MD066077L
PA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
MD066077L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100145590A
—
OK
05
—
106088101
—
TX
05
—
106088103
—
TX
05
—
125075100
—
TX
01
—
125075101
FIRSTCARE COMMERCIAL
TX
01
—
68370
PRESBYTERIAN COMMERCIAL
NM
05
—
68370
—
NM
01
—
84338Z
HMO BLUE
TX
01
—
8A2704
BC/BS
TX
01
—
A505
TRIWEST
NM
05
—
B6096
—
NM
01
—
R0116508
DPS
TX
Enumeration date
10/26/2005
Last updated
03/07/2023
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