MEDICARE: VALERIE K GANN PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	15-02453	KS
2	363A00000X	Physician Assistant	1247	IA
3	363A00000X	Physician Assistant	141404	MT

General Provider Information

NPI Number	:	1700858693
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIE K GANN PA-C

Provider Business Mailing Address
First Line	:	1026 A AVE NE
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52402-5036
Country	:	US
Telephone Number	:	319-368-2150
Fax Number	:

Provider Business Practice Location Address
First Line	:	929 SW MULVANE ST
Second Line	:
City	:	TOPEKA
State	:	KS
Zip	:	66606-1677
Country	:	US
Telephone Number	:	785-270-8625
Fax Number	:	785-270-8624

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2006
Last Update Date	:	06/16/2026

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Directions to “ VALERIE K GANN PA-C” Practice Location

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