Individual
DR. KIMBERLY PARKER GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
4755 OGLETOWN STANTON RD, SUITE 1070, NEWARK, DE 19718-2200
(302) 733-5982
Mailing address
200 HYGEIA DR, SUITE 2300, NEWARK, DE 19713-2049
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT199438
PA
2084N0400X
Neurology Physician
Primary
C1-0011514
DE
2084N0400X
Neurology Physician
MT199438
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT199438
PA
Other
Enumeration date
05/19/2011
Last updated
06/17/2016
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