Kirkilas, Gary Edward

Kirkilas, Gary Edward is an individual health care provider with primary practice located at 1919 E Thomas Rd , Phoenix AZ 85016-7710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kirkilas, Gary Edward can be contacted via phone (602) 933-0945.

Contact Information

Primary practice address
1919 E Thomas Rd Phoenix AZ 85016-7710
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 006481 Arizona

Profile Details

NPI number 1659697704
LBN Legal business name Kirkilas, Gary Edward
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2010
Last updated Oct 9th, 2019 - 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 1659697704 NPPES
Arizona MEDICAID 969141

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