IndividualActive
Charles Gorodetzky, M.D., PH.D.
NPI 1699191189 · Clinical Pharmacology Physician · Kansas City, MO
Provider details
- NPI number
- 1699191189
- Entity type
- Individual
- Primary specialty
- Clinical Pharmacology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 14020 (KY)
Mailing address
5005 Ward Pkwy
Kansas City, MO 64112-2366
Registry dates
- Enumerated
- 2014-03-09
- Last updated
- 2014-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.