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NPI Code Detail

MEDICARE: JOSIE SUE GILBERT PA-C

MEDICARE:   JOSIE SUE GILBERT  PA-C
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
1363A00000XPhysician Assistant
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1770114043
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSIE SUE GILBERT PA-C
Provider Business Mailing Address
First Line : 206 E NORTH AVE
Second Line :
City : BELTON
State : MO
Zip : 64012-2013
Country : US
Telephone Number : 816-599-5170
Fax Number :
Provider Business Practice Location Address
First Line : 206 E NORTH AVE
Second Line :
City : BELTON
State : MO
Zip : 64012-2013
Country : US
Telephone Number : 816-599-5170
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2020
Last Update Date : 06/11/2025

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Directions to “ JOSIE SUE GILBERT PA-C” Practice Location

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