Kenneth S Gillespie, PA-C

NPI #1912952193 in Richwood, West Virginia

Provider Information

NPI Number: 1912952193
Entity Type: Individual
Name: Kenneth S Gillespie, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 24, 2006
Last Updated: Nov 22, 2021

Practice Location

Address: 75 AVENUE B
City: Richwood
State: West Virginia
ZIP Code: 26261-1236
Phone: (304) 846-2573

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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