Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kevin Gallagher

Individual provider Internal Medicine Physician · NPI 1003817057

Kevin Gallagher is an Internal Medicine Physician in Vestal, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005

Practice location Address checks out

4417 Vestal Pkwy E Ste 201
Vestal, NY 13850-3556
Phone: (607) 770-7365
Fax: (607) 798-1835
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 189859-1 (NY)

Record details

NPI number1003817057
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 2, 2005
Last updated in NPPESSeptember 19, 2012
Mailing address346 Grand Avenue, Johnson City, NY 13790-2558

Other providers in Vestal