Individual
NICOLLE MARIE GUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5701 W 119TH ST, STE. 220, OVERLAND PARK, KS 66209-3721
(913) 498-8787
(913) 498-1744
Mailing address
5701 W 119TH ST, STE. 220, OVERLAND PARK, KS 66209-3721
(913) 498-8787
(913) 498-1744
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
2001013785
MO
207Q00000X
Family Medicine Physician
04-29722
KS
207Q00000X
Family Medicine Physician
2001013785
MO
208M00000X
Hospitalist Physician
Primary
04-29722
KS
208M00000X
Hospitalist Physician
2001013785
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200374610A
—
KS
05
—
205799505
—
MO
Enumeration date
01/27/2006
Last updated
06/10/2014
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