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DR. KIMBERLY PARKER GANNON MD PHD NPI 1831482165


NPI Information

NPI: 1831482165
Provider Name: DR. KIMBERLY PARKER GANNON, MD, PHD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Organization: CHRISTIANA CARE HEALTH SERVICES INC

PECOS Registration: Yes

Address:
4755 OGLETOWN STANTON RD
SUITE 1070
NEWARK, DE
ZIP 19718
Phone: (302) 733-5982
Get Directions

DR. Kimberly Parker Gannon, MD, PHD is a neurology psychiatry neurology in Newark, DE with 13 years of experience. The provider is 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. DR. Kimberly Parker Gannon, MD, PHD NPI is 1831482165. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduation Year:2011

The provider's business location address is:

4755 OGLETOWN STANTON RD
SUITE 1070
NEWARK, DE
ZIP 19718-200
Phone: (302) 733-5982

The NPI 1831482165 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/19/2011 and was last updated on 6/17/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineMT199438PENNSYLVANIANo
2390200000XStudent in an Organized Health Care Education/Training ProgramMT199438PENNSYLVANIANo
32084N0400XPsychiatry & NeurologyNeurologyMT199438PENNSYLVANIANo
42084N0400XPsychiatry & NeurologyNeurologyC1-0011514DELAWAREYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.