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Individual

MICHAEL E GILBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3615 NEWBURG RD, LOUISVILLE, KY 40218-3368
(502) 909-0772
(855) 859-0123
Mailing address
3615 NEWBURG RD, LOUISVILLE, KY 40218-3368
(502) 909-0772
(855) 859-0123

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA730
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100139730
KY
Enumeration date
06/22/2005
Last updated
09/30/2021
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