Individual
DR. GINA MARIE PETELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8919 PARALLEL PKWY STE 455, KANSAS CITY, KS 66112-3628
(913) 596-4929
(913) 596-4982
Mailing address
20 NE SAINT LUKES BLVD, SUITE 310, LEES SUMMIT, MO 64086-6001
(816) 282-7809
(816) 282-7870
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
04-32281
KS
207V00000X
Obstetrics & Gynecology Physician
2009013714
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200425800A
—
MO
Enumeration date
02/26/2007
Last updated
05/07/2026
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