Provider Demographics
NPI:1750494654
Name:GENTRY, DONALD A (DPM)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:A
Last Name:GENTRY
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:8919 PARALLEL PKWY
Mailing Address - Street 2:SUITE 270
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66112-1636
Mailing Address - Country:US
Mailing Address - Phone:913-788-7111
Mailing Address - Fax:913-788-3702
Practice Address - Street 1:8919 PARALLEL PKWY
Practice Address - Street 2:SUITE 270
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66112-1636
Practice Address - Country:US
Practice Address - Phone:913-788-7111
Practice Address - Fax:913-788-3702
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2013-01-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS12-00122213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
T42311Medicare UPIN