Male or Other

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)

Code

207N00000X

Primary Taxonomy

Yes

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:

Male or Other

Giacomo Maggiolino M.D.

Kenosha, WI

Specialty: Dermatology Physician (Primary)

Male or Other

Eric Marsh MD

Kenosha, WI

Specialties: Dermatology Physician (Primary)MOHS-Micrographic Surgery Physician