Gallagher, Kim C

Gallagher, Kim C is an individual health care provider with primary practice located at 10818 Peter Anderson Rd , Burlington WA 98233-4717. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Behavioral Health & Social Service Providers / Counselor. Pharmacy Service Providers / Pharmacist is her primary health care specialty. Gallagher, Kim C can be contacted via phone (360) 540-1276.

Contact Information

Primary practice address
10818 Peter Anderson Rd Burlington WA 98233-4717
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PH 00011771 Washington
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1629349006
LBN Legal business name Gallagher, Kim C
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2012
Last updated Jan 30th, 2017 - about 7 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 1629349006 NPPES
Washington MEDICAID 2047032

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