Risk, Gordon Tucker

Risk, Gordon Tucker is an sole proprietor health care provider with primary practice located at 8340 Mission Rd Suite 210, Prairie Village KS 66206-1362. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Risk, Gordon Tucker can be contacted via phone (913) 642-0100.

Contact Information

Primary practice address
8340 Mission Rd Suite 210 Prairie Village KS 66206-1362
Phone: (913) 642-0100
Fax: (913) 642-0176
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 04-17341 Kansas

Profile Details

NPI number 1730269861
LBN Legal business name Risk, Gordon Tucker
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2006
Last updated Jul 13th, 2011 - about 15 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 1730269861 NPPES
Other 10842510 CAQH

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