Kenneth S Gillespie, PA-C | |
75 Avenue B, Richwood, WV 26261-1236 | |
(304) 846-2573 | |
(304) 846-4657 |
Full Name | Kenneth S Gillespie |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 75 Avenue B, Richwood, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912952193 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 979 (West Virginia) | Primary |
363A00000X | Physician Assistant | 2474-23 (Wisconsin) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Kenneth S Gillespie, PA-C Po Box 96, Beaver, WV 25813-0096 Ph: (304) 763-5167 | Kenneth S Gillespie, PA-C 75 Avenue B, Richwood, WV 26261-1236 Ph: (304) 846-2573 |
Ms. Deborah Jean Brown, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 75 Avenue B, Richwood, WV 26261 Phone: 304-846-2573 Fax: 304-846-9562 | |
Ms. Joelene Groves, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 75 Avenue B, Richwood, WV 26261 Phone: 304-846-2573 Fax: 304-846-9562 |