Gilbertson, Kenneth Gerard

Gilbertson, Kenneth Gerard is an individual health care provider with primary practice located at 6815 118Th Ave , Kenosha WI 53142-8420. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Gilbertson, Kenneth Gerard can be contacted via phone (262) 857-5600.

Contact Information

Primary practice address
6815 118Th Ave Kenosha WI 53142-8420
Phone: (262) 857-5600
Fax: (262) 857-1171
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 2008013839 Missouri
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 56044 Wisconsin

Profile Details

NPI number 1811150923
LBN Legal business name Gilbertson, Kenneth Gerard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2008
Last updated Nov 22nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811150923 NPPES
Wisconsin Other P01084488 RR MEDICARE

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