| |
165 Lilly Rd Ne, Olympia, WA 98506-5086 | |
(360) 438-9092 | |
(360) 438-3906 |
Full Name | |
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Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 165 Lilly Rd Ne, Olympia, Washington |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750775037 | NPI | - | NPPES |
7392670001 | Other | WA | PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | PO 60507941 (Washington) | Primary |
Provider Name | Kelley A Gillroy Gill |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1104044098 PECOS PAC ID: 7810061389 Enrollment ID: I20150723006813 |
Mailing Address | Practice Location Address |
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165 Lilly Rd Ne Ste A, Olympia, WA 98506-5086 Ph: (360) 438-9092 | 165 Lilly Rd Ne, Olympia, WA 98506-5086 Ph: (360) 438-9092 |
Donald G Hovancsek, D.p.m. Ps Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2828 Martin Way E, Olympia, WA 98506 Phone: 360-943-9600 Fax: 360-943-9694 | |
Kelley Ann Gillroy, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 165 Lilly Rd Ne Ste A, Olympia, WA 98506 Phone: 360-438-9092 Fax: 604-383-9063 | |
S Sound Foot & Ankle Inc Ps Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3525 Ensign Rd Ne, Suite L, Olympia, WA 98506 Phone: 360-456-3171 Fax: 360-456-2597 | |
M Hopkins Dpm Ps Podiatrist Medicare: Medicare Enrolled Practice Location: 3525 Ensign Rd Ne Ste L, Olympia, WA 98506 Phone: 360-456-3171 Fax: 360-456-2597 | |
Jerod Stanley, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3525 Ensign Rd Ne Ste N, Olympia, WA 98506 Phone: 360-943-9600 Fax: 360-943-9694 | |
Richard Edward Horsman, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3525 Ensign Rd Ne, Suite L, Olympia, WA 98506 Phone: 360-456-3171 Fax: 360-456-2597 | |
Dr. Mark K Williams, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 165 Lilly Rd Ne Ste A, Olympia, WA 98506 Phone: 360-438-9092 Fax: 360-438-3906 |