Kenneally, Gaila Maureen

Kenneally, Gaila Maureen is an individual health care provider with primary practice located at 601 University Dr Student Health Center, San Marcos TX 78666-4684. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kenneally, Gaila Maureen can be contacted via phone (512) 245-2161.

Contact Information

Primary practice address
601 University Dr Student Health Center San Marcos TX 78666-4684
Phone: (512) 245-2161
Fax: (512) 245-9288
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X K7310 Texas

Profile Details

NPI number 1700831468
LBN Legal business name Kenneally, Gaila Maureen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated May 11th, 2020 - about 5 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 1700831468 NPPES
Texas MEDICAID 196414002
Texas MEDICAID 196414001

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