Individual
PABLO AGUAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
2401 GILLHAM RD, ATTN PROVIDER ENROLLMENT DEPT, KANSAS CITY, MO 64108-4619
(816) 701-5200
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
04-32690
KS
208600000X
Surgery Physician
Primary
2007018560
MO
2086S0120X
Pediatric Surgery Physician
04-32690
KS
2086S0120X
Pediatric Surgery Physician
Primary
2007018560
MO
Other
Enumeration date
03/29/2007
Last updated
03/09/2026
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