Healthcare Provider Details

I. General information

NPI: 1760132146
Provider Name (Legal Business Name): CAITLYN GALLOWAY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2022
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 FOUNTAIN CT
LEXINGTON KY
40509-2792
US

IV. Provider business mailing address

245 FOUNTAIN CT STE 225
LEXINGTON KY
40509-2794
US

V. Phone/Fax

Practice location:
  • Phone: 859-323-6021
  • Fax: 859-323-4927
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberR6435
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number60952
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: