Gallagher, Kevin Andrew

Gallagher, Kevin Andrew is an individual health care provider with primary practice located at 24 Fairfield Ave , Schroon Lake NY 12870-0292. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gallagher, Kevin Andrew can be contacted via phone (518) 532-7120.

Contact Information

Primary practice address
24 Fairfield Ave Schroon Lake NY 12870-0292
Phone: (518) 532-7120
Fax: (518) 532-0593
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 235580 New York

Profile Details

NPI number 1194778464
LBN Legal business name Gallagher, Kevin Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Apr 4th, 2022 - about 2 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 1194778464 NPPES
New York MEDICAID 02753006

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