Herbert Yorkie Gilliam
Emergency Physician
1 Medical Village Dr
Edgewood
, Kentucky 41017-3403
Herbert Yorkie Gilliam
Emergency Physician
1 Medical Village Dr
Edgewood
, Kentucky 41017-3403
(859) 344-5552
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Herbert Yorkie Gilliam
- Po Box 636324
- Cincinnati, OH
- Zip : 45263-6324
- Fax : (859) 344-5552
- Phone : (859) 344-5555
Second Address
- Herbert Yorkie Gilliam
- 1 Medical Village Dr
- Edgewood, KY
- Zip : 41017-3403
- Fax : (859) 301-2022
- Phone : (859) 301-5705
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 16374 | KY |
National Provider Identifier
| NPI | 1982605606 |
|---|---|
| Provider Name | Herbert Yorkie Gilliam |
| First Address | Cincinnati, OH 45263-6324 |
| Second Address | Edgewood, KY 41017-3403 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/08/2005 |
| Last Update Date | 30/09/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0259429 | (05) | OH |
| 64055734 | (05) | KY |
| C78292 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.