Gilley, Mary Katherine

Gilley, Mary Katherine is an individual health care provider with primary practice located at 309 Jackson Street Emergency Department, Monroe LA 71201. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gilley, Mary Katherine can be contacted via phone (318) 966-4171.

Contact Information

Primary practice address
309 Jackson Street Emergency Department Monroe LA 71201
Phone: (318) 966-4171
Fax: (318) 966-4856
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1060119 Louisiana

Profile Details

NPI number 1992915144
LBN Legal business name Gilley, Mary Katherine
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Jun 8th, 2021 - about 3 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 1992915144 NPPES
Louisiana MEDICAID 2146416

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