Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 4760 | OK |
N | 208600000X | Surgeon | 4760 | OK |
N | 208200000X | Surgeon | E-8087 | AR |
N | 208600000X | Surgeon | E-8087 | AR |
Y | 2086X0206X | Surgical Oncologist | 2014-02039 | NC |
NPI | 1114156130 |
---|---|
Provider Name | Dr. Kristalyn K Gallagher |
First Address | Chapel Hill, NC 27599-7213 |
Second Address | Chapel Hill, NC 27599-7213 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2009 |
Last Update Date | 30/09/2014 |