Individual
DR. KENNETH ALLEN GILMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1636 MADISON ST, CLARKSVILLE, TN 37043-4911
(931) 647-3692
(931) 647-0279
Mailing address
1636 MADISON ST, CLARKSVILLE, TN 37043-2977
(931) 647-3692
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC0000001555
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356690754
NPI FOR GROUP
TN
01
—
166425100
U.S. DEPT OF LABOR
TN
01
—
3125516
BLUECROSS BLUESHIELD
TN
01
—
350046998
RAILROAD BENEFICIARY
TN
Enumeration date
11/28/2005
Last updated
01/13/2015
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