Individual provider · Type 1 NPI
Kyle Douglas Gannon
Student in an Organized Health Care Education/Training Program · Brownsburg, IN
NPI number
1972340065
Active
Practice location
7123 Windridge Way
Brownsburg, IN 46112-8476
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1972340065
Kyle Douglas Gannon's National Provider Identifier is 1972340065, issued on Jul 15, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brownsburg, IN. The record was last updated on Jul 15, 2024.