Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Gary Lee Petry, MD

Individual provider Family Medicine Physician · NPI 1073605085

Dr. Gary Lee Petry, MD is a Family Practice in Holton, Kansas. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 1998, 28 years ago. Practices with St Vincent General Hospital District, a 14-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
28
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
KS
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1110 Columbine Dr
Holton, KS 66436
Phone: (785) 364-2126
Fax: (785) 364-2801
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0428470 (KS)

Record details

NPI number1073605085
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 28, 2006
Last updated in NPPESNovember 25, 2020
Certification dateNovember 25, 2020
Mailing address1110 Columbine Drive, Holton, KS 66436

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 1998 (28 years in practice)
Group practice St. Vincent General Hospital District — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Holton