Individual
GABRIEL BRIAN CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
26901 US HIGHWAY 119 N, BELFRY, KY 41514-7520
(606) 237-0327
(606) 237-6624
Mailing address
PO BOX 432, PIKEVILLE, KY 41502-0432
(606) 218-3985
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04797
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/09/2018
Last updated
08/16/2021
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