Provider Demographics
NPI:1821605544
Name:GILKEY, TRACY WEITTHOFF
Entity Type:Individual
Prefix:MRS
First Name:TRACY
Middle Name:WEITTHOFF
Last Name:GILKEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9554 NORTHCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-8631
Mailing Address - Country:US
Mailing Address - Phone:614-648-5974
Mailing Address - Fax:
Practice Address - Street 1:9554 NORTHCHESTER DR
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-8631
Practice Address - Country:US
Practice Address - Phone:614-648-5974
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-27
Last Update Date:2020-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide