Individual
JOHN PAUL GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2013 MERCHANT DR STE 3, RICHMOND, KY 40475-6856
(859) 624-2290
(859) 624-5455
Mailing address
2013 MERCHANT DR STE 3, RICHMOND, KY 40475-6856
(859) 624-2290
(859) 624-5455
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23451
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000048340
ANTHEM
KY
05
—
64234511
—
KY
Enumeration date
08/29/2006
Last updated
09/01/2023
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