NPI 1053301507

Robert Louis Petrone, PHDMPHPAC

Practitioner Physician Assistant Fort Leavenworth, KS

Practice location

Address: 550 Pope Ave Gentry Clinic Mahc, Fort Leavenworth, KS 66027-2332
Phone: (913) 684-6601
Fax: (913) 684-6128
Mailing address: 1400 Brookside Dr, Norman, OK 73072-6347

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA322 (OK)

Other Physician Assistant providers in Kansas →

Registry record

NPI: 1053301507
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Oct 2005
Record last updated: 13 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.