Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251E1300X | Electrophysiology, Clinical | 5501007407 | MI |
Y | 2251E1300X | Electrophysiology, Clinical | PT7593 | TN |
N | 2251X0800X | Physical Therapist - Orthopedic | 5501007407 | MI |
N | 2251X0800X | Physical Therapist - Orthopedic | PT7593 | TN |
NPI | 1003995838 |
---|---|
Provider Name | Dr. Kathleen Mary Galloway |
First Address | Nashville, TN 37205-1815 |
Second Address | Nashville, TN 37205-1815 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2006 |
Last Update Date | 17/02/2012 |