Organization
JOHN P GILLESPIE MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BEVERLY JOYCE SHEARER (SECRETARY)
(859) 624-2290
Entity
Organization
Contact information
Practice address
789 EASTERN BYP, SUITE 10, RICHMOND, KY 40475-2415
(859) 624-2290
(859) 623-5291
Mailing address
789 EASTERN BYP, SUITE 10, RICHMOND, KY 40475-2415
(859) 624-2290
(859) 623-5291
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
KY23451
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64234511
—
KY
Enumeration date
06/05/2007
Last updated
08/22/2020
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