Individual
MS. PAULA KAYE GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD PSC
Contact information
Practice address
350 MANCHESTER SQUARE, MANCHESTER, KY 40962
(606) 598-7770
(606) 598-1769
Mailing address
PO BOX 157, 350 MANCHESTER SQUARE, MANCHESTER, KY 40962
(606) 598-7770
(606) 598-1769
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6301
KY
174400000X
Specialist
6301
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45608924
—
KY
05
—
60063013
—
KY
Enumeration date
11/20/2006
Last updated
01/09/2008
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