MEDICARE: 3 KBD DBA PRICARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1609725647
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	3 KBD DBA PRICARE, LLC

Provider Business Mailing Address
First Line	:	44 ALIANT PKWY
Second Line	:
City	:	ALEXANDER CITY
State	:	AL
Zip	:	35010-3466
Country	:	US
Telephone Number	:	256-234-4131
Fax Number	:	256-329-9979

Provider Business Practice Location Address
First Line	:	44 ALIANT PKWY
Second Line	:
City	:	ALEXANDER CITY
State	:	AL
Zip	:	35010-3466
Country	:	US
Telephone Number	:	256-234-4131
Fax Number	:	256-329-9979

Authorized Official
Title or Position	:	PROVIDER
Name	:	BLAIR TAYLOR GILLILAND
Credential	:	CRNP
Telephone Number	:	256-234-4131

Provider Enumeration Date	:	01/23/2026
Last Update Date	:	05/21/2026

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