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CLARISSA RYAN GILLEN NPI 1326548579


NPI Information

NPI: 1326548579
Provider Name: CLARISSA RYAN GILLEN
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
9140 WARD PKWY STE 201
KANSAS CITY, MO
ZIP 64114
Phone: (816) 523-0066
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Clarissa Ryan Gillen is a pediatrics in Kansas City, MO. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Clarissa Ryan Gillen NPI is 1326548579. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9140 WARD PKWY STE 201
KANSAS CITY, MO
ZIP 64114-327
Phone: (816) 523-0066

The enumeration date for this NPI number is 2/14/2018 and was last updated on 2/14/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics43-1740372MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200297150AMEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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