Gill, Kory Lee

Gill, Kory Lee is an individual health care provider with primary practice located at 3121 University Dr E Ste 100 , Bryan TX 77802-3499. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Gill, Kory Lee can be contacted via phone (979) 776-0169.

Contact Information

Primary practice address
3121 University Dr E Ste 100 Bryan TX 77802-3499
Phone: (979) 776-0169
Fax: (979) 776-1372
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M8674 Texas
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X M8674 Texas

Profile Details

NPI number 1154582716
LBN Legal business name Gill, Kory Lee
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2008
Last updated Jul 27th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154582716 NPPES
Texas MEDICAID 201122301
Texas Other 8BZ695

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