Galloway, Kevin L

Galloway, Kevin L is an individual health care provider with primary practice located at 1860 Chadwick Dr Suite 300, Jackson MS 39204-3463. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Galloway, Kevin L can be contacted via phone (601) 376-2999.

Contact Information

Primary practice address
1860 Chadwick Dr Suite 300 Jackson MS 39204-3463
Phone: (601) 376-2999
Fax: (601) 376-2989
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 16585 Mississippi

Profile Details

NPI number 1073507547
LBN Legal business name Galloway, Kevin L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Jul 1st, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073507547 NPPES
Mississippi MEDICAID 00123174

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