Kenneth Gordon Gilbert in Champaign - Psychiatry

Kenneth Gordon Gilbert - NPI 1225190242

Kenneth Gordon Gilbert is a Psychiatry in Champaign, Illinois. Kenneth Gordon Gilbert practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Kenneth Gordon Gilbert is 1225190242. The last update date is 2019-01-02.

Kenneth Gordon Gilbert's current location address is 3202 B Lakeshore Dr, Champaign, Illinois. You can contact this provider via phone number 2173564191 and fax number 8773505447. The mailing address for Kenneth Gordon Gilbert is 3202 B Lakeshore Dr, Champaign, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Gordon Gilbert
Address 3202 B Lakeshore Dr, Champaign, Illinois
Phone Number 2173564191
Fax Number 8773505447
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1225190242
Provider Enumeration Date 2006-12-15
Last Updated Date 2019-01-02

Provider Mailing Address Detail

Address 3202 B Lakeshore Dr
City Champaign
State Illinois (IL)
Post Code 618225208
Phone Number 2173564191
Fax Number 8773505447

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No 36050367
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36050367 IL --

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FAQs about Kenneth Gordon Gilbert

What is the unique 10-digit identifier code assigned to Kenneth Gordon Gilbert by the Centers for Medicare & Medicaid Services?

The Kenneth Gordon Gilbert has been issued the NPI (National Provider Identifier) 1225190242 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Kenneth Gordon Gilbert is located?

The Kenneth Gordon Gilbert is situated at the following address: 3202 B Lakeshore Dr, Champaign, IL, 618225208.

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

The area of specialization for Kenneth Gordon Gilbert is Psychiatry, and the taxonomy code that classifies this field of practice is 2084P0800X.

On what date did the Centers for Medicare & Medicaid Services issue the 1225190242 to Kenneth Gordon Gilbert?

The Kenneth Gordon Gilbert received its 1225190242 assignment from the Centers for Medicare & Medicaid Services on 2006-12-15.

As of what date were the details pertaining to Kenneth Gordon Gilbert last refreshed?

The information related to the Kenneth Gordon Gilbert, including its address, specialty, and other relevant details, was last updated on 2019-01-02.

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