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Contact Information

KYLE C GILLESPIE, DPM
18301 N 79TH AVE
BLDG F #168
GLENDALE, AZ85308-8463
 Phone: 623-544-9090
 Fax: 602-603-5666
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Primary Podiatric Medicine

213EP1101X 48 Podiatry
Indicates primary specialty

NPI Profile & details for KYLE C GILLESPIE · (Male)

NPI Number 1487093746
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/20/2013
Last updated 06/18/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # POD-000927
  • UT License # 9065045-0501
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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