Individual
DR. KELLEY MARIE GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DRIVE, MORGANTOWN, WV 26506
(304) 293-4000
Mailing address
PO BOX 9168, WEST VIRGINIA UNIVERSITY, HEALTH SCIENCES CENTER, MORGANTOWN, WV 26506-9168
(304) 293-4239
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24363
WV
208000000X
Pediatrics Physician
24363
WV
Other
Enumeration date
04/10/2009
Last updated
04/15/2022
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