GILLIAN ROSE LONG

KANSAS CITY, MO
NPI1831849868
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: MO  2022020539)
Additional Taxonomies208000000X Pediatrics
(Licence: KS  94-11111)
Enumeration Date2022-03-24
Last Update Date2022-08-01
Business Address
GILLIAN ROSE LONG DO
2401 GILLHAM RD
KANSAS CITY, MO 64108-4619
Phone number: 816-234-3000
Mailing Address
GILLIAN ROSE LONG DO
2401 GILLHAM RD
KANSAS CITY, MO 64108-4619
Phone number: 816-234-3000