Individual
MRS. KRISTI GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
230 HOSPITAL PLZ, WESTON, WV 26452-8558
(304) 269-8099
(304) 269-8187
Mailing address
1066 BLOODY RUN RD, JANE LEW, WV 26378-8293
(304) 884-6715
Taxonomy
Speciality
Code
Description
License number
State
163WC3500X
Cardiac Rehabilitation Registered Nurse
Primary
053386
WV
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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