Gilmore, Suzanne

Gilmore, Suzanne is an individual health care provider with primary practice located at 2201 Lexington Ave , Ashland KY 41101-2843. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gilmore, Suzanne can be contacted via phone (606) 408-4000.

Contact Information

Primary practice address
2201 Lexington Ave Ashland KY 41101-2843
Phone: (606) 408-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3004090 Kentucky

Profile Details

NPI number 1760438865
LBN Legal business name Gilmore, Suzanne
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Sep 12th, 2018 - about 7 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 1760438865 NPPES
Kentucky MEDICAID 78010402
Kentucky Other P01386217
Kentucky MEDICAID 2648997

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