Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 2014006549 | MO |
NPI | 1669763751 |
---|---|
Provider Name | Dr. Rhonda Kay Gaugh |
First Address | Kansas City, MO 64131-4517 |
Second Address | Kansas City, MO 64111-3220 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2011 |
Last Update Date | 07/10/2019 |