Individual
MRS. KATHRYN ANN GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
28130-031
Contact information
Practice address
329 N PINE ST, JANESVILLE, WI 53548-3515
(698) 754-4621
Mailing address
329 N PINE ST, JANESVILLE, WI 53548-3515
(698) 754-4621
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
28130031
WI
Other
Enumeration date
02/03/2012
Last updated
02/03/2012
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