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Kenneth Raynor Gallup JR., MD
Pulmonary Disease Physician in Elkin, North Carolina
NPI 1306828538

Kenneth Raynor Gallup JR. is a Pulmonary Disease Physician based in Winston Salem, NC and is specialized in Pulmonary Disease. Kenneth Raynor Gallup JR. practices in Elkin, NC and has the professional credentials of MD. The NPI Number for Kenneth Raynor Gallup JR. is 1306828538 and holds a License No. 18642 (North Carolina).

The current practice location address for Kenneth Raynor Gallup JR. is 100 Chatham Medical Park, Elkin, NC and can be reached out via phone at 336-527-7198 and via fax at 336-527-8379.

Location: 100 Chatham Medical Park, Elkin, NC, 27103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306828538
Provider Name
Kenneth Raynor Gallup JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
100 Chatham Medical Park, Elkin, NC, 27103
Phone Number
336-527-7198
Fax Number
336-527-8379
Provider Enumeration Date
11/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
34396 05 NC
institution
Provider Business Practice Location Address Details
Address
100 Chatham Medical Park
City
Elkin
State
North Carolina
Zip
28621-2445
Phone Number
336-527-7198
Fax Number
336-527-8379
person
Provider Business Mailing Address Details
Address
100 Chatham Medical Park
City
Elkin
State
North Carolina
Zip
28621-2445
Phone Number
336-527-7198
Fax Number
336-527-8379
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Critical Care Medicine
Taxonomy
207RC0200X
License No.
18642 (North Carolina)
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Pulmonary Disease
Taxonomy
207RP1001X
License No.
18642 (North Carolina)
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 lungs.
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