Kelly Gallo
Nurse Practitioner - Women's Health
10680 Main St Suite 190
Fairfax
, Virginia 22030-3810
Kelly Gallo
Nurse Practitioner - Women's Health
10680 Main St Suite 190
Fairfax
, Virginia 22030-3810
(703) 691-2384
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About
Features
Specialties
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Kelly Gallo
- 10680 Main St Suite 190
- Fairfax, VA
- Zip : 22030-3810
- Fax : (703) 691-2384
- Phone : (703) 691-1188
Second Address
- Kelly Gallo
- 10680 Main St Suite 190
- Fairfax, VA
- Zip : 22030-3810
- Fax : (703) 691-2384
- Phone : (703) 691-1188
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LW0102X | Nurse Practitioner - Women's Health | 0024173939 | VA |
National Provider Identifier
| NPI | 1043767874 |
|---|---|
| Provider Name | Kelly Gallo |
| First Address | Fairfax, VA 22030-3810 |
| Second Address | Fairfax, VA 22030-3810 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/09/2016 |
| Last Update Date | 09/09/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.