Kenneth Raynor Gallup in Winston Salem - Pulmonary Disease

Kenneth Raynor Gallup - NPI 1306828538

Kenneth Raynor Gallup is a Pulmonary Disease in Winston Salem, North Carolina. Kenneth Raynor Gallup practices all healthcare services and medical treatments related to Pulmonary Disease. The NPI Number for Kenneth Raynor Gallup is 1306828538. The last update date is 2016-08-26.

Kenneth Raynor Gallup's current location address is 3001 Lyndhurst Ave, Winston Salem, North Carolina. You can contact this provider via phone number 3367650383 and fax number 3367681737. The mailing address for Kenneth Raynor Gallup is 3001 Lyndhurst Ave, Winston Salem, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Raynor Gallup
Address 3001 Lyndhurst Ave, Winston Salem, North Carolina
Phone Number 3367650383
Fax Number 3367681737
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1306828538
Provider Enumeration Date 2005-11-15
Last Updated Date 2016-08-26

Provider Mailing Address Detail

Address 3001 Lyndhurst Ave
City Winston Salem
State North Carolina (NC)
Post Code 27103
Phone Number 3367650383
Fax Number 3367681737

Provider's Primary Taxonomy Detail

Speciality Pulmonary Disease
Taxonomy 207Rp1001X
Licence No 18642
Definition:
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
34396 NC --

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FAQs about Kenneth Raynor Gallup

What is the unique 10-digit identifier code issued to Kenneth Raynor Gallup by the Centers for Medicare & Medicaid Services?

The Kenneth Raynor Gallup has been assigned the NPI (National Provider Identifier) 1306828538 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Kenneth Raynor Gallup's facilities are geographically located?

The facilities of Kenneth Raynor Gallup are physically situated at the following location: 3001 Lyndhurst Ave, Winston Salem, NC, 27103.

What is Kenneth Raynor Gallup's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Kenneth Raynor Gallup is Pulmonary Disease, and the taxonomy classification code that categorizes this area of expertise is 207Rp1001X.

When did the Kenneth Raynor Gallup receive its 1306828538?

The Kenneth Raynor Gallup was issued its 1306828538 on 2005-11-15, which is the date when the organization was assigned this unique identifier.

When was the information related to Kenneth Raynor Gallup most recently updated or refreshed?

The details pertaining to the Kenneth Raynor Gallup, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-08-26.

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