Gonzalez-Bonilla, Keilah Isabel
Gonzalez-Bonilla, Keilah Isabel is an sole proprietor health care provider with primary practice located at 1811 Little Creek Ln , Knoxville TN 37922-6002. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Gonzalez-Bonilla, Keilah Isabel can be contacted via phone (865) 690-6727.Contact Information
Primary practice address
1811 Little Creek Ln
Knoxville TN 37922-6002
Phone: (865) 690-6727
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME96511 | Florida |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 45347 | Tennessee |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207QH0002X | 45347 | Tennessee |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 45347 | Tennessee |
Profile Details
| NPI number | 1114128725 |
|---|---|
| LBN Legal business name | Gonzalez-Bonilla, Keilah Isabel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 30th, 2007 |
| Last updated | Dec 19th, 2019 - about 5 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 | 1114128725 | NPPES |
| Tennessee | MEDICAID | 1521768 |
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