MEDICARE: JOSHUA RYAN GURNEE

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
1	122300000X	Dentist	61933	KS

General Provider Information

NPI Number	:	1821729351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA RYAN GURNEE

Provider Business Mailing Address
First Line	:	33291 TOWER RD
Second Line	:
City	:	ARKANSAS CITY
State	:	KS
Zip	:	67005-6398
Country	:	US
Telephone Number	:	620-660-5118
Fax Number	:

Provider Business Practice Location Address
First Line	:	1939 N 11TH ST
Second Line	:
City	:	ARKANSAS CITY
State	:	KS
Zip	:	67005-1724
Country	:	US
Telephone Number	:	620-442-5660
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2022
Last Update Date	:	06/24/2022

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Directions to “ JOSHUA RYAN GURNEE ” Practice Location

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