Individual
JILL C GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8330 E OVERBROOK ST, WICHITA, KS 67206-2326
(316) 644-1193
Mailing address
8330 EAST OVERBROOK ST., WICHITA, KS 67206
(316) 644-1193
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
55030
KS
Other
Enumeration date
06/02/2006
Last updated
01/13/2014
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