Individual
KATHRYN G GALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
13892 TIMBER WAY, BROADWAY, VA 22815
(540) 901-0800
Mailing address
PO BOX 1430, HARRISONBURG, VA 22803-1430
(540) 901-0800
(757) 578-8547
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110006244
VA
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609367135
—
VA
Enumeration date
05/21/2018
Last updated
11/19/2020
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