Individual
DR. KENNETH L. GAMMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
303 S NAPPANEE ST, ELKHART, IN 46514-2066
(574) 296-3314
(574) 296-3351
Mailing address
PO BOX 2968, ELKHART, IN 46515-2968
(574) 296-3314
(574) 296-3351
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01029946A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01029946A
IN
207RP1001X
Pulmonary Disease Physician
Primary
01029946A
IN
208M00000X
Hospitalist Physician
01029946A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100112420A
—
IN
Enumeration date
05/24/2005
Last updated
05/29/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us