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NPI Code Detail

MEDICARE: GILDA ENFIELD

MEDICARE: GILDA ENFIELD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist2006038050MO
2225100000XPhysical Therapist1103776KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1K02-27-4036OTHERKSDRIVER'S LICENSE

General Provider Information

NPI Number : 1821531153
Entity Type Code : Individual
Provider Name (Legal Business Name) : GILDA ENFIELD
Provider Business Mailing Address
First Line : 10000 WORNALL RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64114-4359
Country : US
Telephone Number : 816-942-0994
Fax Number :
Provider Business Practice Location Address
First Line : 10000 WORNALL RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64114-4359
Country : US
Telephone Number : 816-942-0994
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2016
Last Update Date : 11/17/2016

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Directions to “ GILDA ENFIELD ” Practice Location

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