Individual
MR. DANIEL GILLEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, FNP - C
Contact information
Practice address
3801 BLUE PKWY, KANSAS CITY, MO 64130-2807
(816) 923-5800
Mailing address
3801 BLUE PKWY, KANSAS CITY, MO 64130-2807
(816) 923-5800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2013043097
MO
363LF0000X
Family Nurse Practitioner
76189
KS
Other
Enumeration date
12/27/2013
Last updated
12/27/2013
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