DR. KENNETH G GILLILAND MD NPI 1689724221

NPI Information

DR. Kenneth G Gilliland, MD is a general practice in Bishop, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Kenneth G Gilliland, MD NPI is 1689724221. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

153 B PIONEER LN
BISHOP, CA
ZIP 93514
Phone: (760) 873-2849

The enumeration date for this NPI number is 1/12/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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