Individual
GERALD M MANCUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 CARONDELET DR STE 201B, KANSAS CITY, MO 64114
(913) 956-2250
(913) 956-2251
Mailing address
1000 CARONDELET DR STE 201B, KANSAS CITY, MO 64114-4673
(913) 956-2250
(913) 956-2251
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R1K08
MO
207RC0000X
Cardiovascular Disease Physician
R1K08
MO
207RI0011X
Interventional Cardiology Physician
04-22976
KS
207RI0011X
Interventional Cardiology Physician
Primary
R1K08
MO
Other
Enumeration date
04/14/2006
Last updated
11/18/2025
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