Individual
MRS. KASI BROOK GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2016 S MAYO TRL, PIKEVILLE, KY 41501-2295
(606) 422-3200
Mailing address
2016 S MAYO TRL, PIKEVILLE, KY 41501-2295
(606) 422-3200
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
175362
KY
225X00000X
Occupational Therapist
Primary
240762
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240762
LICENSE NUMBER
KY
05
—
240762
—
KY
Enumeration date
11/14/2017
Last updated
06/16/2018
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