Individual
DR. FEDERICO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
23351 PRAIRIE STAR PKWY STE 125, LENEXA, KS 66227-6201
(913) 676-8626
(913) 676-8649
Mailing address
119 N PARKER ST # 284, OLATHE, KS 66061-3139
(913) 660-4742
(913) 204-1329
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
0426273
KS
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
0426273
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-26273
KANSAS LICENSE
KS
05
—
100141250C
—
KS
01
—
1300066
UHC
KS
01
—
18975138
BLUE CROSS
KS
01
—
4346992
AETNA
—
Enumeration date
11/08/2005
Last updated
12/06/2021
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