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

Dr. Kelley Marie Gannon, MD

Individual provider Pediatrics Physician · NPI 1548403207

Dr. Kelley Marie Gannon, MD is an Internal Medicine in Morgantown, West Virginia. Graduated from West Virginia University School of Medicine in 2009, 17 years ago. Practices with West Virginia University Medical Corporation, a 1,981-clinician group, accepts Medicare assignment and offers telehealth. Licensed in West Virginia.

Years since qualifying
17
Trained at
West Virginia University School of Medicine
Licensed in
WV
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Medical Center Dr
Morgantown, WV 26506
Phone: (304) 293-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 24363 (WV)
Pediatrics Physician Taxonomy 208000000X · Licence 24363 (WV)

Record details

NPI number1548403207
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2009
Last updated in NPPESApril 15, 2022
Certification dateApril 15, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolWEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice West Virginia University Medical Corporation — 1981 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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