Gannon, Kathleen Rita

Gannon, Kathleen Rita is an individual health care provider with primary practice located at 1810 Sw White Birch Circle Ste 111, Ankeny IA 50023-7226. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Gannon, Kathleen Rita can be contacted via phone (515) 964-7115.

Contact Information

Primary practice address
1810 Sw White Birch Circle Ste 111 Ankeny IA 50023-7226
Phone: (515) 964-7115
Fax: (515) 964-7899
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X T2006-010 Arkansas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 03077 Iowa
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 03077 Iowa

Profile Details

NPI number 1922066331
LBN Legal business name Gannon, Kathleen Rita
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jul 11th, 2011 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1922066331 NPPES
Arkansas MEDICAID 159949003
Arkansas MEDICAID 9170589

Popular Providers