Individual
DR. RICHARD RUSSELL KNUBLEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5350 COLLEGE BLVD, STE 202, OVERLAND PARK, KS 66211-1633
(913) 327-0100
(913) 327-0102
Mailing address
5350 COLLEGE BLVD, STE 202, OVERLAND PARK, KS 66211-1633
(913) 327-0100
(913) 327-0102
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
5115
KS
Other
Enumeration date
06/16/2005
Last updated
07/08/2007
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