Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carolyn Ann Gilley

Individual provider Primary Care Clinic/Center · NPI 1043749617

Carolyn Ann Gilley is a Primary Care Clinic/Center in Random Lake, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2017.

In the registry since
2017
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Practice location Address checks out

220 Carroll St
Random Lake, WI 53075-1795
Phone: (800) 490-3146
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1043749617
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 7, 2017
Last updated in NPPESJune 7, 2017