Individual
MR. MARCIAL COLE GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
50 E 13TH ST UNIT 812, KANSAS CITY, MO 64106-2935
(816) 287-2016
Mailing address
50 E 13TH ST UNIT 812, KANSAS CITY, MO 64106-2935
(816) 287-2016
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
25-52168-112
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25-52168-112
PRACTICAL NURSE
KS
Enumeration date
06/17/2019
Last updated
05/29/2025
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