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Contact Information

KATHLEEN Y GALLAIS, LAT, ATC, NREMT
1300 17TH AVE N
FARGO, ND58102
 Phone: 701-231-6378
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
 

Emergency Medical Technician, Basic

146N00000X
Indicates primary specialty

NPI Profile & details for KATHLEEN Y GALLAIS · (Female)

NPI Number 1992365498
Status Active
Credentials LAT, ATC, NREMT
Entity Individual
Enumeration date 06/17/2019
Last updated 06/17/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • ND License # 808-18
  • ND License # E3446979
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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