Provider Demographics
NPI:1326022658
Name:GILKEY, CHRIS A (DC)
Entity Type:Individual
Prefix:
First Name:CHRIS
Middle Name:A
Last Name:GILKEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7580 PEACHWOOD DR.
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:IN
Mailing Address - Zip Code:47630-2693
Mailing Address - Country:US
Mailing Address - Phone:305-243-3670
Mailing Address - Fax:305-243-4653
Practice Address - Street 1:7580 PEACHWOOD DR.
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-2693
Practice Address - Country:US
Practice Address - Phone:305-243-3670
Practice Address - Fax:305-243-4653
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2019-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001256A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100254480AMedicaid
IN100254480AMedicaid
IN194330AMedicare ID - Type Unspecified