Petelin, Gina Marie

Petelin, Gina Marie is an individual health care provider with primary practice located at 8919 Parallel Pkwy Ste 455 , Kansas City KS 66112-3628. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Petelin, Gina Marie can be contacted via phone (913) 596-4929.

Contact Information

Primary practice address
8919 Parallel Pkwy Ste 455 Kansas City KS 66112-3628
Phone: (913) 596-4929
Fax: (913) 596-4982
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2009013714 Missouri
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 04-32281 Kansas

Profile Details

NPI number 1609902790
LBN Legal business name Petelin, Gina Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609902790 NPPES
Missouri MEDICAID 200425800A

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