Individual
RYAN ELIZABETH GAMBINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2790 CLAY EDWARDS DR STE 520, NORTH KANSAS CITY, MO 64116-3274
(816) 691-5198
(816) 346-7095
Mailing address
2790 CLAY EDWARDS DR STE 520, NORTH KANSAS CITY, MO 64116-3274
(816) 691-5198
(816) 346-7095
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-02332
NC
363A00000X
Physician Assistant
Primary
2022012973
MO
363A00000X
Physician Assistant
PA.0004286
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86756834
—
CO
Enumeration date
06/21/2010
Last updated
06/14/2022
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