Individual
KELLY GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1100 TUNNEL RD, ASHEVILLE, NC 28805-2576
(828) 431-5600
(828) 431-5600
Mailing address
2440 CENTURY PL SE, HICKORY, NC 28602-4031
(828) 431-5600
(828) 431-5697
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS011182
PA
207Q00000X
Family Medicine Physician
Primary
OS13999
PA
Other
Enumeration date
06/06/2008
Last updated
05/01/2024
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