Individual
DR. KEVIN L GALLOWAY V
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1860 CHADWICK DR, SUITE 300, JACKSON, MS 39204-3463
(601) 376-2999
(601) 376-2989
Mailing address
PO BOX 6004, URBANA, IL 61803-6004
(217) 383-6792
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
16585
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123174
—
MS
Enumeration date
09/09/2005
Last updated
07/01/2015
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