MR. KENNETH R GILLEN


Address: 277 Cohasset Rd, Chico, CA 95926-2242
Phone: 5308726650

MR. KENNETH R GILLEN (NPI# 1225098494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225098494
Entity Type Individual
Full Name MR. KENNETH R GILLEN
Credential PA-C
Practice Address 277 Cohasset Rd
Chico
CA 95926-2242
Mailing Address 5900 N Libby Rd
Paradise
CA 95969-4215
Practice Telephone 5308726650
Mailing Telephone 5308725191
Enumeration Date 2006-03-23
Last Update Date 2019-01-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA15850 CA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
7068 Skyway, Paradise, CA 959693940 5308771155

Office Location

Street Address 277 COHASSET RD
City CHICO
State CA
Zip Code 95926-2242

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306842265 Lourdes M Valdez Pediatrics 277 Cohasset Rd, Chico, CA 95926-2242 2005-06-24
1881161701 Jessica Wix Physician Assistant 277 Cohasset Rd, Chico, CA 95926 2018-10-29
1407371941 Robert Douglas Grigg Physician Assistant 277 Cohasset Rd, Chico, CA 95926 2017-08-05
1548441728 Paul Maria Gahlinger General Practice 277 Cohasset Rd, Chico, CA 95926 2007-11-16
1790971513 Michael J Ferris Nurse Practitioner 277 Cohasset Rd, Chico, CA 95926-2242 2007-09-16
1083792477 Toni Cecilia Moody Pediatrics 277 Cohasset Rd, Chico, CA 95926-2242 2006-11-01
1598861635 Dorothy I Chinnock Nurse Practitioner 277 Cohasset Rd, Chico, CA 95926-2242 2006-09-16
1912938234 Jason R Vance Family Medicine 277 Cohasset Rd, Chico, CA 95926 2006-07-05
1023049624 Arthur J Brinckerhoff Internal Medicine 277 Cohasset Rd, Chico, CA 95926 2006-07-05
1104853597 Linda Pendleton Physician Assistant 277 Cohasset Rd, Chico, CA 95926-2242 2006-06-28
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104332576 Asheley Dawn Kimble Registered Nurse 592 Lindo Ave, Chico, CA 95926 2017-12-21
1275050635 Wa Meng Vang Counselor 560 Cohasset Rd #180, Chico, CA 95926 2017-08-26
1922538677 Lisa Ann Milardovich Physical Medicine & Rehabilitation 1576 Hawthorne Ave, Chico, CA 95926 2017-06-15
1205364700 Andrew Vercellino Chiropractor 1281 East Ave #100, Chico, CA 95926 2017-05-26
1205389095 Michele Lando Social Worker 572 Rio Lindo Ave Ste 108, Chico, CA 95926 2016-07-27
1215397864 Joseph Boone Wills IIi Marriage & Family Therapist 6 Governors Ln Ste C, Chico, CA 95926 2016-02-24
1356723001 Erica White Counselor 109 Parmac Road, Suite 1, Chico, CA 95926 2015-06-18
1902285208 Genuine Dbt Licensed Clinical Social Worker Inc Psychologist 1140 Mangrove Ave Ste D, Chico, CA 95926 2015-05-20
1255724324 Linda K Zimbelman Nurse Practitioner 1645 Esplanade #1, Chico, CA 95926 2015-03-12
1366851040 Jose Mendoza Counselor 590 Rio Lindo Avenue, Chico, CA 95926 2014-08-07
Find all providers in zip 95926

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093831117 Carlos A Cuellar Physician Assistant Student Health Services Csu Chico, Chico, CA 95929-0001 2007-03-21
1285725895 Debra Diane Peterson Physician Assistant 185 East 7th Ave, Suite D, Chico, CA 95926 2006-09-27
1285679779 Leon Denson Royston Jr. Physician Assistant 2012 Franklin St, Chico, CA 95928-6727 2006-06-18
1831180785 Mary Katherine Hopson Physician Assistant 100 Independence Circle, Argyll Medical Group, Chico, CA 95973-0258 2005-10-31
1811431455 Shirley Huffman Physician Assistant 100 Independence Cir, Chico, CA 95973-0258 2016-12-16
1275910622 Aaron David Farmer Physician Assistant 845 W East Ave, Chico, CA 95926-2002 2015-05-05
1922419860 Northstate Cardiology Consultants Physician Assistant 198 Cohasset Rd, Chico, CA 95926-2202 2014-05-14
1164785093 David Vincent Robbins II Physician Assistant 1531 Esplanade, Chico, CA 95926-3310 2012-06-15
1033425889 Bernadette Marie Connolly Physician Assistant 111 Raley Blvd, Suite 140, Chico, CA 95928-8351 2010-08-30
1821300534 Stuart E Mishelof Physician Assistant 100 Independence Cir, Chico, CA 95973-0258 2010-07-10
Find all providers in CHICO

Competitor

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City CHICO
Zip Code 95926

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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