Gannon, Jennifer L

Gannon, Jennifer L is an individual health care provider with primary practice located at 5808 W 110Th St , Overland Park KS 66211-2504. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Clinical Biochemical Genetics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Gannon, Jennifer L can be contacted via phone (913) 696-8000.

Contact Information

Primary practice address
5808 W 110Th St Overland Park KS 66211-2504
Phone: (913) 696-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 04-37711 Kansas
Allopathic & Osteopathic Physicians / Clinical Biochemical Genetics 207SG0202X 2014044366 Missouri
Allopathic & Osteopathic Physicians / Clinical Biochemical Genetics 207SG0202X 04-37711 Kansas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2014044366 Missouri

Profile Details

NPI number 1740218270
LBN Legal business name Gannon, Jennifer L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Feb 8th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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