Individual
MRS. MICAH GAYLE GALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-0001
(859) 218-4939
Mailing address
800 ROSE ST, LEXINGTON, KY 40536-0001
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3009853
KY
Other
Enumeration date
11/24/2015
Last updated
10/12/2016
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