Robert E Gunnoe, M.D.
Individual provider Active NPI Dermatology Physician · Stanley, KS
NPI 1942297015 · NPPES record last updated Dec 31, 2012
Key facts
- NPI
- 1942297015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dermatology Physician 207N00000X
- License
- 0417839 (KS)
- Practice address
- 15101 Glenwood Ave
Stanley, KS 66223-3154 - Phone
- (913) 681-8866
- Fax
- (913) 338-1311
- NPI assigned
- Oct 4, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0417839 | KS | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| College Park Family Care Center, P.a. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 0417839 | KS | Yes |
Addresses
Primary practice location
15101 Glenwood Ave
Stanley, KS 66223-3154
Mailing address
PO Box 741331
Atlanta, GA 30374-1331
Phone (913) 469-0503
Other providers in Stanley, KS
- Mollyanne Elizabeth Gibson Brunkow
- Gregory E Chambon
- Tyler Downs
- Jenna Beth Kawase Eshcol
- Mitzi M Groves
- Amy Lynn Hartwigsen
- Kylie Hays
- Madeline Howell
- Amy J Kapple
- Yutaka Kawase
All providers in Stanley, KS · Dermatology Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.