Individual
DR. KATHLEEN RITA GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1810 SW WHITE BIRCH CIRCLE, STE 111, ANKENY, IA 50023-7226
(515) 964-7115
(515) 964-7899
Mailing address
6800 LAKE DRIVE, STE 250, WEST DES MOINES, IA 50266-2504
(515) 875-9925
(515) 875-9923
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
03077
IA
207R00000X
Internal Medicine Physician
T2006-010
AR
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
03077
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159949003
—
AR
05
—
9170589
—
IA
Enumeration date
05/03/2006
Last updated
07/11/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us