Individual
MS. DARNELL B GANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
4075 COPPER RIDGE DR, TRAVERSE CITY, MI 49684-7059
(800) 253-1795
(231) 946-1730
Mailing address
6819 ELKMONT DR, JACKSONVILLE, FL 32226-3355
(620) 255-3690
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1500669
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100357640D
—
KS
Enumeration date
04/25/2006
Last updated
03/15/2019
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