Individual
ALBERT H GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 E SPRUCE ST, GARDEN CITY, KS 67846-5679
(620) 272-2222
Mailing address
401 E SPRUCE ST, GARDEN CITY, KS 67846-5679
(620) 272-2222
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
04-22181
KS
207P00000X
Emergency Medicine Physician
0422181
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100153750C
—
KS
05
—
100153750E
—
KS
01
—
107053
BLUE SHIELD
KS
01
—
P00706691
RAILROAD MEDICARE
KS
Enumeration date
06/27/2006
Last updated
07/02/2009
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