Organization
KEVIN L GALLOWAY, DO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN L GALLOWAY D.O. (MANAGER)
(601) 376-2999
Entity
Organization
Contact information
Practice address
1860 CHADWICK DR, 300, JACKSON, MS 39204-3463
(601) 376-2999
(601) 376-2989
Mailing address
1860 CHADWICK DR, 300, JACKSON, MS 39204-3463
(601) 376-2999
(601) 376-2989
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
16585
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123174
—
MS
Enumeration date
06/25/2007
Last updated
08/22/2020
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