Individual
MR. JAMES SCOTT GAGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
9880 ANGIES WAY, SUITE 250, LOUISVILLE, KY 40241-2851
(502) 394-6341
(502) 394-6340
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA339
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000958829
ANTHEM - NOTC/NOS
KY
01
—
50097770
PASSPORT - NOTC/NOS
KY
05
—
95005617
—
KY
Enumeration date
06/15/2005
Last updated
07/28/2016
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