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Brandon Gasaway
Student in an Organized Health Care Education/Training Program in Kirksville, Missouri
NPI 1750071973

Brandon Gasaway is a Student in an Organized Health Care Education/Training Program based in Lenexa, MO. Brandon Gasaway practices in Kirksville, MO. The NPI Number for Brandon Gasaway is 1750071973 and holds a License No. (Missouri).

The current practice location address for Brandon Gasaway is 800 W Jefferson St, Kirksville, MO and can be reached out via phone at 816-522-6249.

Location: 800 W Jefferson St, Kirksville, MO, 66219-2216
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750071973
Provider Name
Brandon Gasaway
Credential
Provider Entity Type
Individual
Gender
Male
Address
800 W Jefferson St, Kirksville, MO, 66219-2216
Phone Number
816-522-6249
Fax Number
Provider Enumeration Date
05/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
800 W Jefferson St
City
Kirksville
State
Missouri
Zip
63501-1443
Phone Number
816-522-6249
Fax Number
person
Provider Business Mailing Address Details
Address
800 W Jefferson St
City
Kirksville
State
Missouri
Zip
63501-1443
Phone Number
816-522-6249
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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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