Individual
BRANDON GASAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 W JEFFERSON ST, KIRKSVILLE, MO 63501-1443
(816) 522-6249
Mailing address
15100 W 93RD ST, LENEXA, KS 66219-2216
(816) 522-6249
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/10/2023
Last updated
05/12/2023
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