Individual
SHARON M GUSTOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6675 HOLMES RD STE 360, KANSAS CITY, MO 64131-1167
(816) 276-7600
(816) 276-7992
Mailing address
6675 HOLMES RD STE 360, KANSAS CITY, MO 64131-1167
(816) 276-7600
(816) 276-7992
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
1190
NV
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
2023011924
MO
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
L5358
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
284748501
—
TX
01
—
8CX870
BCBS
TX
01
—
P00978115
RAILROAD MEDICARE
TX
Enumeration date
07/13/2005
Last updated
08/31/2023
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