Pediatric Headache Center PC
NPI #1679881767 in Kansas City, Missouri
Provider Information
- NPI Number
- 1679881767
- Entity Type
- Organization
- Organization Name
- Pediatric Headache Center PC
- Primary Specialty
- Pediatrics
- Enumeration Date
- Sep 22, 2010
- Last Updated
- Sep 22, 2010
Practice Location
- Address
- 400 E RED BRIDGE RD
- Address 2
- SUITE 206
- City
- Kansas City
- State
- Missouri
- ZIP Code
- 64131-4035
- Phone
- (816) 509-3363
Authorized Official
- Name
- GERRY R. GERRY, MD
- Title
- PHYSICIAN
- Phone
- (816) 509-3363
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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