Organization
GANNON MEDICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY GANNON (MANAGER)
(225) 718-3764
Entity
Organization
Contact information
Practice address
607 RUE DE BRILLE, NEW IBERIA, LA 70563-2169
(337) 367-1247
(337) 365-7496
Mailing address
124 KAROLWOOD DR, LAFAYETTE, LA 70503-3505
(225) 718-3764
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
05/13/2021
Last updated
05/21/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up