Gilman, Kenneth
Gilman, Kenneth is an sole proprietor health care provider with primary practice located at 5219 Guadalupe Trl Nw , Albuquerque NM 87107-3346. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gilman, Kenneth can be contacted via phone (505) 980-1865.Contact Information
Primary practice address
5219 Guadalupe Trl Nw
Albuquerque NM 87107-3346
Phone: (505) 980-1865
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0837 | New Mexico |
Profile Details
| NPI number | 1265500151 |
|---|---|
| LBN Legal business name | Gilman, Kenneth |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 1st, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265500151 | NPPES |
| New Mexico | MEDICAID | 46181334 |
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