Kenneth L Gallegos, CSFA/ CST

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

178983 Issued in CO

Practice address

6903 S Picadilly St
Aurora, CO 80016-2341

Phone

(303) 525-1698

Fax

(720) 500-2142

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1184725095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 471973",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800471973",
            "telephone_number": "303-525-1698",
            "fax_number": "303-827-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6903 S PICADILLY ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800162341",
            "telephone_number": "303-525-1698",
            "fax_number": "720-500-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLEGOS",
        "first_name": "KENNETH",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "CSFA/ CST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "CO",
            "license": "178983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esteban Gallego, MD
• Kristi Alisssa Gallego, MA, LPC, NCC
• Anjanette Gallegos
• Ashley Gallegos
• Jordan Nathaniel Gallegos, MD
• Mary Temple Gallegos, MD
• Nanilii Gallegos, B.S.
• Sarah J. Gallegos, LPC
• Vanessa Marie Gallegos
• Wesley Gallegos, PA

• Surgical Assistant in Aurora, CO
• Providers in Aurora, CO by specialty
• Surgical Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.