Individual
GREGORY L HUMMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19550 E 39TH STREET, SUITE 205, INDEPENDENCE, MO 64057
(816) 252-7300
(816) 836-8435
Mailing address
PO BOX 1980, INDEPENDENCE, MO 64055-0980
(913) 642-4900
(913) 381-0979
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
R3B53
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11096035
BCBS
KS
05
—
202067518
—
MO
Enumeration date
02/14/2006
Last updated
10/02/2024
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