Individual
DR. COREY GALLUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1808 BRISTOW DRIVE, UNION, KY 41091-3513
(859) 301-7210
(859) 301-7216
Mailing address
2300 CHAMBER CENTER DR, SUITE 200, LAKESIDE PARK, KY 41017-1673
(859) 344-5555
(859) 301-7216
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02553
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2387608
—
OH
05
—
64012750
—
KY
Enumeration date
11/15/2005
Last updated
03/18/2021
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