| Doctor Name: | MRS. SHERRY ANN GATEWOOD |
| NPI Number: | 1164403150 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHYSICIAN ASSISTANT |
| License Number: | 1049269 |
| Business Practice Address: | 550 Pope Ave Fort Leavenworth, KS - 660272332 |
| Business Phone Number: | 9136846000 |
| Business Fax Number: | |
| Mailing Address: | 110 Country Villa Ln Apt 2a, SAINT ROBERT |
| State: | MO |
| Postal Code: | 655849501 |
| Phone Number: | 2543192169 |
| Fax Number: | |
| NPI Enumeration Date: | 11/08/2005 |
| NPI Last Update Date: | 07/03/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 1049269 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |