Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Missouri Gateway Health, LLC

Organization Physician Assistant · NPI 1073052114

Missouri Gateway Health, LLC is a Physician Assistant in Glen Allen, Virginia. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

10900 Nuckols Rd Ste 110
Glen Allen, VA 23060-9276
Phone: (804) 396-6412
Fax: (804) 482-2756
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1073052114
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAllyalign Health, Inc
Authorized official Kenneth Bratton — Coo · (804) 396-6412
NPI enumeratedFebruary 22, 2017
Last updated in NPPESFebruary 22, 2017
Mailing address10900 Nuckols Rd, Suite 110, Glen Allen, VA 23060-9276

Other providers in Glen Allen