Ken J Gailes, PT is a
Physical Therapist based in Hollandale, Mississippi. Ken J Gailes is licensed to practice in Mississippi (license number PT3460) and his current practice location is
117 East Ave S, Hollandale, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(601) 624-0350.
NPI number for Ken J Gailes is 1881986453 and his current mailing address is 1 W Campbell Ave, Apt 1119, Phoenix, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1881986453.
Healthcare Provider's Profile
| Full Name | Ken J Gailes |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 117 East Ave S, Hollandale, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1881986453
- Provider Enumeration Date: 05/13/2011
- Last Update Date: 03/08/2021
Medical Identifiers
Medical identifiers for Ken J Gailes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881986453 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | PT3460 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ken J Gailes is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ken J Gailes, PT
1 W Campbell Ave, Apt 1119,
Phoenix, AZ 85013-2998
Ph: (601) 624-0350 | Ken J Gailes, PT
117 East Ave S,
Hollandale, MS 38748-3811
Ph: (601) 624-0350 |
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