Gall, Roxanne B

Gall, Roxanne B is an individual health care provider with primary practice located at 20 Medical Village Dr Suite 394, Edgewood KY 41017-5401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Gall, Roxanne B can be contacted via phone (859) 578-0442.

Contact Information

Primary practice address
20 Medical Village Dr Suite 394 Edgewood KY 41017-5401
Fax: (859) 578-9113
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4348P Kentucky

Profile Details

NPI number 1982679676
LBN Legal business name Gall, Roxanne B
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Jul 9th, 2007 - about 17 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 1982679676 NPPES
Kentucky MEDICAID 78013620

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