Kimberley F Gangwish, PA

NPI #1598768046 in Grand Island, Nebraska

Provider Information

NPI Number
1598768046
Entity Type
Individual
Name
Kimberley F Gangwish, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Surgical
Credential
PA
Enumeration Date
May 28, 2005
Last Updated
Oct 2, 2007

Practice Location

Address
620 N DIERS AVE
Address 2
STE 200
ZIP Code
68803-4984
Phone
(308) 384-5400

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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