Individual provider · NPI-1

Dr. Ann Kathryn Gwinnup, M.D.

Family Medicine · Crestview, FL

NPI number1447244223
StatusActive
Last updated in NPPESSep 8, 2020

Details

NPI
1447244223
Entity type
Individual (NPI-1)
Name
Dr. Ann Kathryn Gwinnup
Credential
M.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 7, 2005
Certification date
Sep 8, 2020
Last updated
Sep 8, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineME96507FLYes

Practice location

127 E Redstone Ave Ste C
Crestview, FL 32539-5356

Phone 850-423-0061 · Fax 850-423-9954

Mailing address

127 E Redstone Ave Ste C
Crestview, FL 32539-5356

Phone 850-423-0061 · Fax 850-423-9954

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