Individual
MS. KATHLEEN M. GALLAWAY
Active
Individual
MS. KATHLEEN M. GALLAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
369422-1
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F380308-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01568538
—
NY
01
—
500001501
RR MEDICARE PIN
NY
01
—
CC8362
RR MEDICARE GROUP
NY
Enumeration date
03/22/2006
Last updated
03/20/2021
Update your record
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