Individual
MRS. MIA GEORGANN GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
11729 ROE AVE, LEAWOOD, KS 66211-2605
(866) 389-2727
Mailing address
901 E 104TH ST, MS 400S, KANSAS CITY, MO 64131
(816) 502-8752
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2012033368
MO
363LF0000X
Family Nurse Practitioner
Primary
53-75807-071
KS
Other
Enumeration date
09/26/2012
Last updated
12/07/2017
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