Individual provider · Type 1 NPI

Kyle Cornelius Gillespie, D.P.M.

Foot & Ankle Surgery Podiatrist · Glendale, AZ

NPI number 1487093746 Active

Practice location

18301 N 79th Ave, Bldg F #168
Glendale, AZ 85308-8463

Fax (602) 603-5666

Specialties and licenses

TaxonomyCodeLicense
Primary Podiatric Medicine Podiatrist 213EP1101X9065045-0501 (UT)
Foot & Ankle Surgery Podiatrist 213ES0103X9065045-0501 (UT)
Foot & Ankle Surgery Podiatrist Primary 213ES0103XPOD-000927 (AZ)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1487093746

Kyle Cornelius Gillespie, D.P.M.'s National Provider Identifier is 1487093746, issued on Jun 20, 2013. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Glendale, AZ. The record was last updated on Jun 18, 2020.