Individual
DR. DEBORAH J GAMMILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15604 PINEHURST DRIVE, SUITE 2, BASEHOR, KS 66007
(913) 728-2200
(913) 728-2230
Mailing address
1000 CARONDELET DR, PROVIDER ENROLLMENT/ MED STAFF OFC, KANSAS CITY, MO 64114
(816) 943-5744
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0427440
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100325690D
—
KS
Enumeration date
09/30/2006
Last updated
03/26/2019
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