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Contact Information

PAUL O GORBY, DPM
550 RUSH CREEK PKWY
SUITE A
LIBERTY, MO64068-9608
 Phone: 816-455-1155
 Fax: 816-455-1161
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for PAUL O GORBY · (Male)

NPI Number 1629078407
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/22/2005
Last updated 09/09/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 12-00343
  • MO License # 009612
  • MO Medicaid 309126407
Hospital affiliation(s)
  • SHAWNEE MISSION MEDICAL CENTER - (Acute Care)
    9100 W 74TH STREET
    SHAWNEE MISSION, KS 66204
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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