Most Relevant Information
Provider Data
| NPI Number: | 1003639956 |
| Provider Name: | ABIGAIL MCKENSEY GANN PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/07/2024 |
| Last Updated: | 11/07/2024 |
Provider Practice Location
1201 HIGHWAY 39
MILLER
MO
657078332
Practice Location Phone/Fax
| Phone: | 4178607433 |
| Fax: |
Provider Mailing Location
1201 HIGHWAY 39
MILLER
MO
657078332
Provider Mailing Phone/Fax
| Phone: | 4178607433 |
| Fax: |