David Allen Gammon
Internist Internist - Addiction Medicine
3296 Ridgecane Rd
Lexington
, Kentucky 40513-1078
David Allen Gammon
Internist Internist - Addiction Medicine
3296 Ridgecane Rd
Lexington
, Kentucky 40513-1078
(859) 312-3377
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About
Features
Specialties
- Internist
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- David Allen Gammon
- 3296 Ridgecane Rd
- Lexington, KY
- Zip : 40513-1078
- Phone : (859) 312-3377
Second Address
- David Allen Gammon
- 3296 Ridgecane Rd
- Lexington, KY
- Zip : 40513-1078
- Phone : (859) 312-3377
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FAQs
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What type of doctor is David Allen Gammon
In what state does David Allen Gammon practice in?
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Is David Allen Gammon a sole practitioner?
Is David Allen Gammon accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | 22708 | KY |
| Y | 111NI0900X | Internist | 22708 | KY |
| N | 207RA0401X | Internist - Addiction Medicine | 22708 | KY |
National Provider Identifier
| NPI | 1891720587 |
|---|---|
| Provider Name | David Allen Gammon |
| First Address | Lexington, KY 40513-1078 |
| Second Address | Lexington, KY 40513-1078 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/07/2006 |
| Last Update Date | 13/06/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 110036800 | RR MEDICARE PIN NO (01) | KY |
| 36000818 | ASC MEDICAID GROUP (01) | KY |
| 37903705 | MEDICAID LAB GROUP (01) | KY |
| 4000501 | MEDICARE LAB GROUP (01) | KY |
| 64227085 | (05) | KY |
| ASC1019 | ASC MEDICARE GROUP (01) | KY |
| C66007 | (02) | |
| CB5773 | RR MEDICARE GROUP (01) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.