Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH RAYNOR GALLUP JR., MD
ActiveKENNETH RAYNOR GALLUP JR., MD is a Critical Care Medicine healthcare provider located in ELKIN, North Carolina. NPI 1306828538 is currently active in the NPPES registry. Verify at CMS.
Critical Care Medicine · ELKIN, NC
Registration Details
- NPI Number
- 1306828538
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 15, 2005 (20.774556314012 yrs)
- Last Updated
- Aug 26, 2016
- Licenses
-
18642 (NC)18642 (NC)
Practice Information
- Address
-
100 CHATHAM MEDICAL PARKELKIN, NC, 286212445Browse NC providers · Browse ZIP 28621
- Phone
- 3365277198
- Fax
- 3365278379
- Primary Specialty
-
Critical Care Medicine
207RC0200X
- Additional Specialty
- Pulmonary Disease
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.