Individual
GARY A COPELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6724 TROOST AVE, SUITE 900, KANSAS CITY, MO 64131-1512
(816) 333-8420
(816) 333-2250
Mailing address
6724 TROOST AVE, SUITE 800, KANSAS CITY, MO 64131-1512
(816) 333-8420
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2001027190
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
323D142A
RAILROAD MEDICARE- INDIV
MO
01
—
323D142B
RAILROAD MEDICARE- INDIV
KS
01
—
CI2562
RAILROAD MEDICARE- GROUP
KS
01
—
CI3618
RAILROAD MEDICARE- GROUP
MO
Enumeration date
01/19/2006
Last updated
10/18/2007
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