Individual
CLINT GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9119 W 74TH ST STE 150, SHAWNEE MISSION, KS 66204-2229
(913) 789-1980
(913) 829-1770
Mailing address
9119 W 74TH ST STE 150, SHAWNEE MISSION, KS 66204-2229
(913) 789-1980
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01993
KS
Other
Enumeration date
03/06/2017
Last updated
04/23/2019
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