Gammon, Kenneth L.
Gammon, Kenneth L. is an individual health care provider with primary practice located at 303 S Nappanee St , Elkhart IN 46514-2066. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Gammon, Kenneth L. can be contacted via phone (574) 296-3314.Contact Information
Primary practice address
303 S Nappanee St
Elkhart IN 46514-2066
Phone: (574) 296-3314
Fax: (574) 296-3351
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 01029946A | Indiana |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 01029946A | Indiana |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 01029946A | Indiana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01029946A | Indiana |
Profile Details
| NPI number | 1528061447 |
|---|---|
| LBN Legal business name | Gammon, Kenneth L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | May 29th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528061447 | NPPES |
| Indiana | MEDICAID | 100112420A |
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