Individual
MARK GAGLIARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-8501
(913) 588-1227
Mailing address
9724 COLONY PL, KANSAS CITY, MO 64131-3229
(816) 604-7007
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
13-140864-051
KS
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
53-80910-051
KS
Other
Enumeration date
01/13/2022
Last updated
02/10/2022
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