| 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 |