Individual
MR. RYAN WILLIAM GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3061
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3061
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2014022524
MO
363LP0200X
Pediatric Nurse Practitioner
5376431102
KS
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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