Individual
DR. GENTRY KEMP WARD RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 932-5345
(816) 932-3939
Mailing address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 932-5345
(816) 932-3939
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2022007661
MO
Other
Enumeration date
04/05/2017
Last updated
08/14/2023
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