# KAYLEEN GILLO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1619525037
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | 10940 | GA | — |
| 363AM0700X | Medical Physician Assistant | PA218628 | OR | Yes |

## Other

- **Enumeration date:** 08/28/2019
- **Last updated:** 02/25/2025