Gilreath, Kathryn Mae

Gilreath, Kathryn Mae is an individual health care provider with primary practice located at 7333 W Jefferson Blvd , Fort Wayne IN 46804-6280. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Gilreath, Kathryn Mae can be contacted via phone (260) 458-3830.

Contact Information

Primary practice address
7333 W Jefferson Blvd Fort Wayne IN 46804-6280
Phone: (260) 458-3830
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN144662 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2822617A Indiana

Profile Details

NPI number 1447368899
LBN Legal business name Gilreath, Kathryn Mae
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2006
Last updated Sep 16th, 2020 - about 6 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 1447368899 NPPES
Indiana MEDICAID 300001584

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