Individual
MEGANNE GOURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ATC
Contact information
Practice address
2500 CANTERBURY DR STE 112, HAYS, KS 67601-2258
(785) 261-7599
Mailing address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085-006084
IL
363A00000X
Physician Assistant
Primary
12581
MN
363AS0400X
Surgical Physician Assistant
1503203
KS
363AS0400X
Surgical Physician Assistant
7732
CT
Other
Enumeration date
08/16/2006
Last updated
05/31/2026
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