Petry, Gary Lee

Petry, Gary Lee is an individual health care provider with primary practice located at 1110 Columbine Drive , Holton KS 66436. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Petry, Gary Lee can be contacted via phone (785) 364-2126.

Contact Information

Primary practice address
1110 Columbine Drive Holton KS 66436
Phone: (785) 364-2126
Fax: (785) 364-2801
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0428470 Kansas

Profile Details

NPI number 1073605085
LBN Legal business name Petry, Gary Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Nov 25th, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1073605085 NPPES
Kansas Other 80175101 RR MEDICARE
Kansas MEDICAID 10039800A RR MEDICARE
Kansas Other 101003 RR MEDICARE

Popular Providers