MEDICARE: CHRISTI L GILBERT DPM PA

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	213E00000X	Podiatrist	1200323	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	30298028	OTHER		BCBSKC

General Provider Information

NPI Number	:	1750488938
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTI L GILBERT DPM PA

Provider Business Mailing Address
First Line	:	3120 MESA WAY
Second Line	:	STE A
City	:	LAWRENCE
State	:	KS
Zip	:	66049
Country	:	US
Telephone Number	:	785-841-3338
Fax Number	:	785-841-3340

Provider Business Practice Location Address
First Line	:	3120 MESA WAY
Second Line	:	STE A
City	:	LAWRENCE
State	:	KS
Zip	:	66049
Country	:	US
Telephone Number	:	785-841-3338
Fax Number	:	785-841-3340

Authorized Official
Title or Position	:	OWNER PRESIDENT
Name	:	DR. CHRISTI L GILBERT
Credential	:	DPM
Telephone Number	:	785-841-3338

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	11/28/2007

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