MEDICARE: KEVIN F GALLAGHER D.P.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	SC002436L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902865181
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN F GALLAGHER D.P.M.

Provider Business Mailing Address
First Line	:	3515 WASHINGTON RD
Second Line	:
City	:	MC MURRAY
State	:	PA
Zip	:	15317-3063
Country	:	US
Telephone Number	:	724-941-4330
Fax Number	:	412-381-8690

Provider Business Practice Location Address
First Line	:	3515 WASHINGTON RD
Second Line	:
City	:	MC MURRAY
State	:	PA
Zip	:	15317-3063
Country	:	US
Telephone Number	:	724-941-4330
Fax Number	:	412-381-8690

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	12/21/2018

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