Individual
BARRY L KENTOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
10701 NALL AVE STE 200, OVERLAND PARK, KS 66211
(913) 381-5225
(913) 901-0186
Mailing address
10701 NALL AVE STE 200, OVERLAND PARK, KS 66211-1358
(913) 381-5225
(913) 901-0186
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-00878
KS
363A00000X
Physician Assistant
2017026091
MO
363AM0700X
Medical Physician Assistant
1500878
KS
Other
Enumeration date
12/30/2005
Last updated
02/10/2022
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