Individual
MR. CASEY MCCONNELL GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
375 DIXMYTH AVE, DEPARTMENT OF EMERGENCY MEDICINE, CINCINNATI, OH 45220-2475
(513) 862-2989
Mailing address
8912 SANDYMAR DR, CINCINNATI, OH 45242-7322
(513) 305-9722
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003344
OH
Other
Enumeration date
09/20/2011
Last updated
10/10/2022
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