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KENNETH RAYNOR GALLUP JR. MD
NPI 1306828538
Internal Medicine - Critical Care Medicine in Elkin, NC

Active since November 15, 2005
100 CHATHAM MEDICAL PARK, ELKIN, NC 28621(336) 527-7198(336) 527-8379 Get Directions Write a Review

NPPES record last updated: August 26, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenneth Raynor Gallup Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH RAYNOR GALLUP JR. MD (NPI 1306828538) is an individual critical care medicine provider in Elkin, North Carolina, licensed in North Carolina (18642) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1306828538
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameKENNETH RAYNOR GALLUP JR.Credential: MD
Location Address100 CHATHAM MEDICAL PARKElkin, NC 28621-2445
Mailing Address3001 Lyndhurst AveWinston Salem, NC 27103 · (336) 765-0383 · Fax (336) 768-1737
Phone(336) 527-7198
Fax(336) 527-8379
Sole ProprietorNo
Enumeration DateNovember 15, 2005
Last NPPES UpdateAugust 26, 2016
✔ NPI 1306828538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in NC · 18642
Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 18642 (NC)
100 CHATHAM MEDICAL PARK, Elkin, NC 28621
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Other Identifiers 3

Medicare UPINC83958
Medicare PIN206503CNC
Medicaid34396NC

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HUGH CHATHAM MEMORIAL HOSPITAL
Internal Medicine (Gastroenterology)
100 CHATHAM MEDICAL PARK
ELKIN, NC 28621
Surry County (336) 526-6195
PIEDMONT FOOT & ANKLE ASSOCIATES, P.C.
Podiatrist
100 CHATHAM MEDICAL PARK
ELKIN, NC 28621
Surry County (919) 751-9120

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Gallup's NPI number?

The NPI number for Kenneth Gallup is 1306828538. It was assigned to this individual provider in the NPPES registry on November 15, 2005.

Where is Kenneth Gallup located?

Kenneth Gallup practices at 100 Chatham Medical Park, Elkin, NC 28621. The listed phone number is (336) 527-7198.

What is Kenneth Gallup's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

When was this NPI record last updated?

The NPPES record for Kenneth Gallup was last updated on August 26, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.