MR. DAVID MICHAEL GANN PA-C NPI 1487737276

NPI Information

NPI: 1487737276
Provider Name: MR. DAVID MICHAEL GANN, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
23 JOEL DRIVE
ATTN: AVIATION HEALTH CLINIC
FT CAMPBELL, KY
ZIP 42223
Phone: (270) 798-8625
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MR. David Michael Gann, PA-C is a medical physician assistant in Ft Campbell, KY. MR. David Michael Gann, PA-C NPI is 1487737276. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

23 JOEL DRIVE
ATTN: AVIATION HEALTH CLINIC
FT CAMPBELL, KY
ZIP 42223
Phone: (270) 798-8625

The enumeration date for this NPI number is 10/23/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1027208	OTHER		NCCPA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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