Individual
RICHARD ALLAN GELLENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2724 NORTH JOPLIN, PITTSBURG, KS 66762
(620) 231-7190
(620) 231-7192
Mailing address
2724 NORTH JOPLIN, PITTSBURG, KS 66762
(620) 231-7190
(620) 231-7192
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14934
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009567
BCBS KS
KS
01
—
081077449
RAILROAD MEDICARE
—
05
—
100098290A
—
KS
Enumeration date
09/07/2006
Last updated
07/08/2007
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