NPI 1184725095

Kenneth L Gallegos, CSFACST

Practitioner Surgical Assistant Aurora, CO

Practice location

Address: 6903 S Picadilly St, Aurora, CO 80016-2341
Phone: (303) 525-1698
Fax: (720) 500-2142
Mailing address: PO Box 471973, Aurora, CO 80047-1973

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence 178983 (CO)

Other Specialist/Technologist, Other providers in Colorado →

Registry record

NPI: 1184725095
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Sep 2006
Record last updated: 22 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.