Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
DR. KATHLEEN RITA GANNON
Active
Individual
DR. KATHLEEN RITA GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
03077
IA
207R00000X
Internal Medicine Physician
T2006-010
AR
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
03077
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159949003
—
AR
05
—
9170589
—
IA
Enumeration date
05/03/2006
Last updated
07/11/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers