Kathy Gallaway (NPI# 1114436540, PAC ID# 1153660295) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1114436540 |
| PAC ID by PECOS | 1153660295 |
| Professional Enrollment ID | I20190306003439 |
| Full Name | Kathy Gallaway |
| Organization Legal Name | ULTRA HEALTH LLC |
| Address |
107 Boyles Dr Russellville KY 42276-8838 |
| Phone Number | 7313941145 |
| Gender | F |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6800186602 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180066 | LOGAN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 107 Boyles Dr, Russellville, KY 42276-8838 | 7313941145 | ULTRA HEALTH LLC |
| Organization Legal Name | ULTRA HEALTH LLC |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Pool | Nurse Practitioner | Ultra Health LLC | 402 W Farthing St, Mayfield, KY 42066-2900 |
| Amanda Nicole Dame | Nurse Practitioner | Ultra Health LLC | 950 Highpoint Dr, Hopkinsville, KY 42240-2570 |
| Deena D Carrico | Nurse Practitioner | Ultra Health LLC | 1004 Holiday Ln, Fulton, KY 42041-8458 |
| Loren S Carroll | Family Medicine | Ultra Health LLC | 36 Pemberton Cv, Jackson, TN 38305-5514 |
| Lora A Russell | Nurse Practitioner | Ultra Health LLC | 1004 Holiday Ln, Fulton, KY 42041-8458 |
| Molly N Ledbetter | Nurse Practitioner | Ultra Health LLC | 36 Pemberton Cv, Jackson, TN 38305-5514 |
| Jessica Desir | Nurse Practitioner | Ultra Health LLC | 36 Pemberton Cv, Jackson, TN 38305-5514 |
| Melissa L Bolton | Nurse Practitioner | Ultra Health LLC | 36 Pemberton Cv, Jackson, TN 38305-5514 |
| Sheila Carlton | Nurse Practitioner | Ultra Health LLC | 36 Pemberton Cv, Jackson, TN 38305-5514 |
| Lauren Amber Wilson | Nurse Practitioner | Ultra Health LLC | 36 Pemberton Cv, Jackson, TN 38305-5514 |
| Street Address |
107 BOYLES DR |
| City | RUSSELLVILLE |
| State | KY |
| Zip | 42276-8838 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thad Dustin Wells | Optometry | 105 Robins Way, Suite 206, Russellville, KY 42276-1129 | |
| Darla S Barrow | Optometry | 102 Armory Dr, Russellville, KY 42276-1602 | |
| Amanda S Higdon | Optometry | 102 Armory Dr, Russellville, KY 42276-1602 | |
| Keith A Jones | Chiropractic | 178 E 4th St, Russellville, KY 42276-1820 | |
| Bill D Webb | Optometry | 603 E 4th St, Russellville, KY 42276-1857 | |
| James C Dodson | Internal Medicine | Logan Physician Practice LLC | 147 E 5th St, Russellville, KY 42276-1903 |
| Stuart W Larson | Psychiatry | Lifeskills, Inc | 237 E 6th St, Russellville, KY 42276-1917 |
| Tonya Norris Ballard | Clinical Social Worker | Lifeskills, Inc | 237 E 6th St, Russellville, KY 42276-1917 |
| Lorri L Houck | Nurse Practitioner | Lifeskills, Inc | 237 E 6th St, Russellville, KY 42276-1917 |
| Laura A Gaines | Clinical Social Worker | Lifeskills, Inc | 237 E 6th St, Russellville, KY 42276-1917 |
| Find all physicians in zip 42276 | |||
| City | RUSSELLVILLE |
| Zip Code | 42276 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | RUSSELLVILLE + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.