Individual
KELLY N GANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3200 GRAND AVE FL 6, DES MOINES, IA 50312-4104
(515) 244-6162
(515) 266-3105
Mailing address
3200 GRAND AVE FL 6, DES MOINES, IA 50312-4104
(515) 244-6162
(515) 266-3105
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
076271
IA
363A00000X
Physician Assistant
PA.0003460
CO
Other
Enumeration date
07/13/2012
Last updated
07/21/2022
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