Kingman, Gilson John

Kingman, Gilson John is an individual health care provider with primary practice located at 2901 Maplewood Ave , Winston Salem NC 27103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, which is considered as his primary health care specialty. Kingman, Gilson John can be contacted via phone (336) 765-8620.

Contact Information

Primary practice address
2901 Maplewood Ave Winston Salem NC 27103
Phone: (336) 765-8620
Fax: (336) 768-6236
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X 200001205450 North Carolina

Profile Details

NPI number 1578504726
LBN Legal business name Kingman, Gilson John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Dec 17th, 2012 - about 12 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 1578504726 NPPES
North Carolina Other B0941 MECOST
North Carolina Other P00024584 MECOST
North Carolina Other 49032 MECOST
North Carolina Other 8798 MECOST
North Carolina MEDICAID 8949032 MECOST

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