Provider Demographics
NPI:1972914364
Name:GILLEN, LINDSEY ROSE (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:ROSE
Last Name:GILLEN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MISS
Other - First Name:LINDSEY
Other - Middle Name:ROSE
Other - Last Name:FOWLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:KANSAS UNIVERSITY PHYSICIANS, INC.
Mailing Address - Street 2:3901 RAINBOW BLVD. 4070 DELP, MS 4017
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-0001
Mailing Address - Country:US
Mailing Address - Phone:913-588-2501
Mailing Address - Fax:913-588-2496
Practice Address - Street 1:DIVISION OF GENERAL AND GERIATRIC MEDICINE
Practice Address - Street 2:3901 RAINBOW BLVD. 60400 DELP, MS 1020
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-0001
Practice Address - Country:US
Practice Address - Phone:913-588-6005
Practice Address - Fax:913-588-3877
Is Sole Proprietor?:No
Enumeration Date:2014-05-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS76264363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily