Individual
MARK T GILLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1532 N LIMESTONE # 2135, LEXINGTON, KY 40505-3247
(888) 790-0743
(859) 252-9738
Mailing address
1532 N LIMESTONE # 2135, LEXINGTON, KY 40505-3247
(888) 790-0743
(859) 252-9738
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3002698
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74269804
—
KY
Enumeration date
09/22/2006
Last updated
02/15/2016
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