Provider Demographics
NPI:1497300040
Name:GALLOWAY, FLORENCE M
Entity Type:Individual
Prefix:
First Name:FLORENCE
Middle Name:M
Last Name:GALLOWAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7211 E 17TH AVE
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON
Mailing Address - State:KS
Mailing Address - Zip Code:67501-8627
Mailing Address - Country:US
Mailing Address - Phone:620-899-5337
Mailing Address - Fax:
Practice Address - Street 1:7211 E 17TH AVE
Practice Address - Street 2:
Practice Address - City:HUTCHINSON
Practice Address - State:KS
Practice Address - Zip Code:67501-8627
Practice Address - Country:US
Practice Address - Phone:620-899-5337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-08
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider