Individual
MRS. KIMBERLY MATTAIR GALLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
374 NW COPPERHEAD WAY, MADISON, FL 32340-3978
(850) 464-7073
Mailing address
374 NW COPPERHEAD WAY, MADISON, FL 32340-3978
(850) 464-7073
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
03863
FL
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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