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Individual
KATIE NICOLE GALLES
Active
Individual
KATIE NICOLE GALLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003408A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102556007
ANTHEM PTAN
IN
05
—
300055752
—
IN
01
—
Q00765235
RAILROAD PTAN
IN
Enumeration date
09/29/2021
Last updated
11/04/2024
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