Individual
MR. KENNETH L GALLEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSFA/ CST
Contact information
Practice address
6903 S PICADILLY ST, AURORA, CO 80016-2341
(303) 525-1698
(720) 500-2142
Mailing address
PO BOX 471973, AURORA, CO 80047-1973
(303) 525-1698
(303) 827-3401
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
178983
CO
Other
Enumeration date
09/25/2006
Last updated
07/22/2021
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