Kenneth Edward Gallagher, MD is a
Pathology - Anatomic Pathology & Clinical Pathology physician based in Marion, Indiana. Kenneth Edward Gallagher is licensed to practice in Indiana (license number 01050309) and his current practice location is 441 N Wabash Ave, Marion, Indiana. He can be reached at his office (for appointments etc.) via phone at
(765) 662-4648.
NPI number for Kenneth Edward Gallagher is 1063512598 and his current mailing address is Po Box 11588, Fort Wayne, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063512598.
Physician's Profile
Full Name | Kenneth Edward Gallagher |
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Gender | Male |
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Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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Location | 441 N Wabash Ave, Marion, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063512598
- Provider Enumeration Date: 09/24/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Kenneth Edward Gallagher such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063512598 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 01050309 (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth Edward Gallagher is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kenneth Edward Gallagher, MD Po Box 11588, Fort Wayne, IN 46859-1588 Ph: (800) 288-8325 | Kenneth Edward Gallagher, MD 441 N Wabash Ave, Marion, IN 46952-2612 Ph: (765) 662-4648 |
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