Individual
KRISTINA GILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1230 MARKET ST, LA GRANGE, KY 40031-7986
(502) 225-6900
(502) 666-7693
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 272-5754
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3005971
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000787146
ANTHEM BC/BS
KY
05
—
200961820
—
IN
01
—
50042936
PASSPORT
KY
05
—
7100073510
—
KY
Enumeration date
11/12/2008
Last updated
08/28/2024
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