Individual
BETSE M GAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
21 N 12TH ST, SUITE 300, KANSAS CITY, KS 66102-5161
(913) 342-2552
Mailing address
8800 W 75TH ST, SUITE 220, SHAWNEE MISSION, KS 66204-2205
(913) 384-5500
(913) 384-5209
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0420438
KS
208000000X
Pediatrics Physician
R8D73
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100151790B
—
KS
Enumeration date
07/11/2005
Last updated
10/18/2019
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