Individual
ANNE E GILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
927 KENTON STATION DR, MAYSVILLE, KY 41056-9609
(606) 759-0433
(606) 759-0058
Mailing address
PO BOX 550, VANCEBURG, KY 41179-0550
(606) 796-3029
(606) 796-6221
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
31454
KY
208D00000X
General Practice Physician
35087586
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2643429
—
OH
05
—
7100059610
—
KY
Enumeration date
03/09/2006
Last updated
10/14/2009
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