Kenneth Gerard Gilbertson in Kenosha - Dermatology

Kenneth Gerard Gilbertson - NPI 1811150923

Kenneth Gerard Gilbertson is a Dermatology in Kenosha, Wisconsin. Kenneth Gerard Gilbertson practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Kenneth Gerard Gilbertson is 1811150923. The last update date is 2021-11-22.

Kenneth Gerard Gilbertson's current location address is 6815 118th Ave, Kenosha, Wisconsin. You can contact this provider via phone number 2628575600 and fax number 2628571171. The mailing address for Kenneth Gerard Gilbertson is 6815 118th Ave, Kenosha, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Gerard Gilbertson
Address 6815 118th Ave, Kenosha, Wisconsin
Phone Number 2628575600
Fax Number 2628571171
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1811150923
Provider Enumeration Date 2008-07-08
Last Updated Date 2021-11-22

Provider Mailing Address Detail

Address 6815 118th Ave
City Kenosha
State Wisconsin (WI)
Post Code 531428420
Phone Number 2628575600
Fax Number 2628571171

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
Licence No 2008013839
Definition:
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P01084488 WI RR MEDICARE

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FAQs about Kenneth Gerard Gilbertson

What is the unique identification code assigned to Kenneth Gerard Gilbertson by the Centers for Medicare & Medicaid Services?

The Kenneth Gerard Gilbertson has been issued the NPI (National Provider Identifier) 1811150923. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Kenneth Gerard Gilbertson is physically located?

The Kenneth Gerard Gilbertson is situated at the following address: 6815 118Th Ave, Kenosha, WI 531428420.

What is Kenneth Gerard Gilbertson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Kenneth Gerard Gilbertson is Dermatology, and the taxonomy code that classifies this field of practice is 207N00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1811150923 to Kenneth Gerard Gilbertson?

The Kenneth Gerard Gilbertson received its 1811150923 assignment from the Centers for Medicare & Medicaid Services on 2008-07-08.

As of what date were the Kenneth Gerard Gilbertson's details last updated?

The information pertaining to the Kenneth Gerard Gilbertson, including its address, specialty, and other details, was most recently updated on 2021-11-22.

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