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NPI Code Detail

MEDICARE: MR. WILLIAM K GILBERT PA-C

MEDICARE: MR. WILLIAM K 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
1363AM0700XMedical Physician AssistantPA1709KY

General Provider Information

NPI Number : 1851665475
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WILLIAM K GILBERT PA-C
Provider Business Mailing Address
First Line : PO BOX 1325
Second Line :
City : CORBIN
State : KY
Zip : 40702-1325
Country : US
Telephone Number : 606-526-8131
Fax Number : 606-528-8661
Provider Business Practice Location Address
First Line : 2 TRILLIUM WAY
Second Line : STE. 306
City : CORBIN
State : KY
Zip : 40701-8490
Country : US
Telephone Number : 606-526-4070
Fax Number : 606-526-4072
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/29/2012
Last Update Date : 06/01/2026

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