NPI 1063871770

Kimberly Gangwer

Practitioner Surgical Assistant Lafayette, IN

Practice location

Address: 5177 McCarty Ln, Lafayette, IN 47905-8764
Phone: (765) 448-8000
Mailing address: PO Box 5545, Lafayette, IN 47903-5545

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence CERT 92231 (IN)

Other Specialist/Technologist, Other providers in Indiana →

Registry record

NPI: 1063871770
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Feb 2016
Record last updated: 30 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.