Gammon, David Allen

Gammon, David Allen is an sole proprietor health care provider with primary practice located at 3296 Ridgecane Rd , Lexington KY 40513-1078. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Gammon, David Allen can be contacted via phone (859) 312-3377.

Contact Information

Primary practice address
3296 Ridgecane Rd Lexington KY 40513-1078
Phone: (859) 312-3377
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 22708 Kentucky
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 22708 Kentucky

Profile Details

NPI number 1891720587
LBN Legal business name Gammon, David Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2006
Last updated Jun 13th, 2015 - about 10 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 1891720587 NPPES
Kentucky Other ASC1019 ASC MEDICARE GROUP
Kentucky Other 37903705 ASC MEDICARE GROUP
Kentucky Other 4000501 ASC MEDICARE GROUP
Kentucky Other 110036800 ASC MEDICARE GROUP
Kentucky MEDICAID 64227085 ASC MEDICARE GROUP
Kentucky Other CB5773 ASC MEDICARE GROUP
Kentucky Other 36000818 ASC MEDICARE GROUP

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