Healthcare Provider Details

I. General information

NPI: 1144753112
Provider Name (Legal Business Name): ADAM SCOTT GALINDO AGACNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2017
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 W 12TH AVE STE 207
EMPORIA KS
66801-2589
US

IV. Provider business mailing address

1306 FRONTIER WAY
EMPORIA KS
66801-6112
US

V. Phone/Fax

Practice location:
  • Phone: 620-342-4278
  • Fax: 620-343-5989
Mailing address:
  • Phone: 620-757-3540
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number77610
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: