Individual
MARIA KATHLEEN GENTRY ENDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3901 RAINBOW BLVD # MS 1060, KANSAS CITY, KS 66160-0001
(816) 654-2173
Mailing address
3901 RAINBOW BLVD # MS 1060, KANSAS CITY, KS 66160-0001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
83416-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100277939
—
WI
Enumeration date
04/02/2021
Last updated
10/04/2024
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