Individual provider · Type 1 NPI
Kimberly Parker Gannon, MD, PhD
Neurology Physician · Newark, DE
NPI number
1831482165
Active
Practice location
4755 Ogletown Stanton Rd, Suite 1070
Newark, DE 19718-2200
Mailing address
200 Hygeia Dr, Suite 2300
Newark, DE 19713-2049
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | MT199438 (PA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | MT199438 (PA) |
| Neurology Physician | 2084N0400X | MT199438 (PA) |
| Neurology Physician Primary | 2084N0400X | C1-0011514 (DE) |
Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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About NPI 1831482165
Kimberly Parker Gannon, MD, PhD's National Provider Identifier is 1831482165, issued on May 19, 2011. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Newark, DE. The record was last updated on Jun 17, 2016.