Kyle Douglas Gannon
Kyle Douglas Gannon is a Student in an Organized Health Care Education/Training Program in Brownsburg, Indiana. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
7123 Windridge WayBrownsburg, IN 46112-8476
Phone: (317) 600-7513
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1972340065 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 15, 2024 |
| Last updated in NPPES | July 15, 2024 |
| Certification date | July 15, 2024 |
| Mailing address | 7123 Windridge Way, Brownsburg, IN 46112-8476 |
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