Kelley Ann Gillroy
Foot & Ankle Surgery
165 Lilly Rd Ne Ste A
Olympia
, Washington 98506-5086
Kelley Ann Gillroy
Foot & Ankle Surgery
165 Lilly Rd Ne Ste A
Olympia
, Washington 98506-5086
(360) 438-3906
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About
Features
Specialties
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Kelley Ann Gillroy
- 165 Lilly Rd Ne Ste A
- Olympia, WA
- Zip : 98506-5086
- Fax : (360) 438-3906
- Phone : (360) 438-9092
Second Address
- Kelley Ann Gillroy
- 165 Lilly Rd Ne Ste A
- Olympia, WA
- Zip : 98506-5086
- Fax : (604) 383-9063
- Phone : (360) 438-9092
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0103X | Foot & Ankle Surgery | 0677 | AZ |
National Provider Identifier
| NPI | 1104044098 |
|---|---|
| Provider Name | Kelley Ann Gillroy |
| First Address | Olympia, WA 98506-5086 |
| Second Address | Olympia, WA 98506-5086 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/04/2007 |
| Last Update Date | 26/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 428205 | (05) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.