Provider Demographics
NPI:1326335159
Name:GERON, KATHRYN G (DO)
Entity Type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:G
Last Name:GERON
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:PO BOX 802843
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64180-2843
Mailing Address - Country:US
Mailing Address - Phone:417-730-6430
Mailing Address - Fax:417-269-7567
Practice Address - Street 1:151 JOHNSTOWN DR
Practice Address - Street 2:
Practice Address - City:ROGERSVILLE
Practice Address - State:MO
Practice Address - Zip Code:65742-9366
Practice Address - Country:US
Practice Address - Phone:417-269-2252
Practice Address - Fax:417-269-2259
Is Sole Proprietor?:No
Enumeration Date:2011-06-30
Last Update Date:2021-08-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2012026894207Q00000X
MO2011017509207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine