Most Relevant Information
Provider Data
| NPI Number: | 1003817057 |
| Provider Name: | KEVIN GALLAGHER |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | 189859-1 |
Most Important Dates
| Enumeration Date: | 08/02/2005 |
| Last Updated: | 09/19/2012 |
Provider Practice Location
4417 VESTAL PARKWAY EAST
SUITE 201
VESTAL
NY
138503556
Practice Location Phone/Fax
| Phone: | 6077707365 |
| Fax: | 6077981835 |
Provider Mailing Location
346 GRAND AVENUE
JOHNSON CITY
NY
137902558
Provider Mailing Phone/Fax
| Phone: | 6077298156 |
| Fax: | 6077293982 |
Suggested EMR
Internist EMR