Kenneth G. Gilbertson M.D.
Dermatology Physician in Kenosha, WI(View on Map)
Full Name
Kenneth Gerard Gilbertson M.D.
NPI Number
1811150923
NPI Type
Individual Provider
Gender
Male
Enumeration Date
07/08/2008
Specialties
(Taxonomies)Licenses
State
Wisconsin
License Number
56044
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 735044
6815 118TH AVE
City
Chicago
Kenosha
State
IL
WI
Postal Code
60673-5044
53142-8420
Country
US
US
Telephone Number
(800) 326-2250
(262) 857-5600
Identifiers
Identifier
100017150
P01084488
Identifier State
WI
WI
Identifier Issuer
Unknown
RR MEDICARE
Health Information Exchange
Endpoint Type
DIRECT
FHIR
Endpoint
kgilbertson31819@direct.myadvocateaurora.org
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Endpoint Description
Unknown
Unknown
Use
Direct
Unknown
Content Type
Unknown
Unknown
Affiliation
N
N
Endpoint Location
6815 118th AveKenosha, WI531428420US
6815 118th AveKenosha, WI531428420US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/01/2024
Provider Address
Other Dermatology Physicians in Kenosha, Wisconsin:
Eric Marsh MD
Kenosha, WISpecialties: Dermatology Physician (Primary)MOHS-Micrographic Surgery Physician