Individual
JOY-ANN TABANOR-GAYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4525 W 6TH ST STE 100, LAWRENCE, KS 66049-7700
(785) 505-5160
(785) 505-5282
Mailing address
325 MAINE ST, MSO LIBRARY, LAWRENCE, KS 66044
(785) 505-2988
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
04-41561
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30004646960001
—
KS
Enumeration date
07/08/2014
Last updated
01/16/2024
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