Individual
MRS. AYRYN PAGE CHILTON-GELFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4420 DIXIE HWY STE 118, LOUISVILLE, KY 40216-2991
(502) 447-3448
(502) 933-4483
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA805
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000550830
ANTHEM
KY
01
—
3502247000
PASSPORT ADVANTAGE
KY
01
—
50018564
PASSPORT
KY
05
—
9500486700
—
KY
Enumeration date
03/20/2007
Last updated
10/22/2021
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