Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A118899 | CA |
N | 111NI0900X | Internist | A118899 | CA |
Y | 207RG0100X | Gastroenterologist | 24687 | MS |
N | 207RG0100X | Gastroenterologist | A118899 | CA |
NPI | 1033435474 |
---|---|
Provider Name | Dr. Karin Soby Gilkison |
First Address | Biloxi, MS 39534-2508 |
Second Address | Biloxi, MS 39534-2508 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2010 |
Last Update Date | 12/04/2018 |