Individual
KAYLA MARIE GALLUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-2859
(336) 716-2217
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-6674
(336) 716-9188
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0010-15488
NC
363A00000X
Physician Assistant
Primary
0010-15488
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/24/2024
Last updated
11/24/2025
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