Individual
ROBERT WAYDE GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 852-5851
(502) 852-3762
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0328
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01082470A
IN
207L00000X
Anesthesiology Physician
Primary
58325
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300028089
—
IN
05
—
7100614610
—
KY
Enumeration date
04/06/2015
Last updated
11/06/2023
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