Individual
KISHON GALLMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4512 KIRKWOOD HWY STE 300, WILMINGTON, DE 19808-5129
(302) 623-7500
(302) 623-7505
Mailing address
4512 KIRKWOOD HWY STE 300, WILMINGTON, DE 19808-5129
(302) 623-7500
(302) 623-7505
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0047657
DE
363L00000X
Nurse Practitioner
LG-0013229
DE
363LF0000X
Family Nurse Practitioner
Primary
LG-0013229
DE
Other
Enumeration date
08/22/2025
Last updated
10/01/2025
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