Individual
DR. GERRY R GERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 E RED BRIDGE RD, SUITE 206, KANSAS CITY, MO 64131-4035
(816) 941-2928
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(913) 696-8000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
105950
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209697911
—
MO
Enumeration date
09/20/2006
Last updated
07/30/2015
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