Individual
MERRY WAYNE GADDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 GILLHAM ROAD, KANSAS CITY, MO 64108
(816) 234-3591
Mailing address
2401 GILLHAM ROAD, KANSAS CITY, MO 64108
(816) 234-3591
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
2011030943
MO
363LN0005X
Critical Care Neonatal Nurse Practitioner
53-75424-021
KS
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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