Provider Demographics
NPI:1821742834
Name:GALLAMORE, KARA KATHLEEN (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:KARA
Middle Name:KATHLEEN
Last Name:GALLAMORE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:KATHLEEN
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2172 W NINE MILE RD STE 264
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32534-9413
Mailing Address - Country:US
Mailing Address - Phone:888-737-5799
Mailing Address - Fax:
Practice Address - Street 1:8051 N TAMIAMI TRL STE E6
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34243-2067
Practice Address - Country:US
Practice Address - Phone:888-737-5799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-08
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11017373363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily