DR. Kathleen Rita Gannon, D.O.

NPI #1922066331 in Ankeny, Iowa

Provider Information

NPI Number: 1922066331
Entity Type: Individual
Name: DR. Kathleen Rita Gannon, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: D.O.
Enumeration Date: May 3, 2006
Last Updated: Jul 11, 2011

Practice Location

Address: 1810 SW WHITE BIRCH CIRCLE
Address 2: STE 111
City: Ankeny
State: Iowa
ZIP Code: 50023-7226
Phone: (515) 964-7115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary
Internal Medicine - Geriatric Medicine — Geriatric Medicine	207RG0300X

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