Provider Demographics
NPI:1952643983
Name:GILKEY, SHALONDA
Entity Type:Individual
Prefix:
First Name:SHALONDA
Middle Name:
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 1:232 KNECHT DR
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45405-2630
Mailing Address - Country:US
Mailing Address - Phone:937-397-9460
Mailing Address - Fax:
Practice Address - Street 1:232 KNECHT DR
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45405-2630
Practice Address - Country:US
Practice Address - Phone:937-397-9460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-16
Last Update Date:2013-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide