Provider Demographics
NPI:1548995723
Name:GILKEY FAMILY CARE PLLC
Entity type:Organization
Organization Name:GILKEY FAMILY CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:GILKEY
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:928-224-9138
Mailing Address - Street 1:1515 E CEDAR AVE STE C-1
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86004-1637
Mailing Address - Country:US
Mailing Address - Phone:928-224-9138
Mailing Address - Fax:928-272-0112
Practice Address - Street 1:1515 E CEDAR AVE STE C-1
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86004-1637
Practice Address - Country:US
Practice Address - Phone:928-224-9138
Practice Address - Fax:928-272-0112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-20
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty