Individual
DR. JENNIFER L GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5808 W 110TH ST, OVERLAND PARK, KS 66211-2504
(913) 696-8000
Mailing address
2401 GILLHAM RD, ATTN PROVIDER ENROLLMENT DEPT, KANSAS CITY, MO 64108-4619
(816) 701-5200
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
04-37711
KS
207SG0201X
Clinical Genetics (M.D.) Physician
2014044366
MO
207SG0202X
Clinical Biochemical Genetics Physician
04-37711
KS
207SG0202X
Clinical Biochemical Genetics Physician
2014044366
MO
208000000X
Pediatrics Physician
Primary
04-37711
KS
208000000X
Pediatrics Physician
2014044366
MO
Other
Enumeration date
06/30/2006
Last updated
03/10/2026
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