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Individual
KIM J GILMORE
Active
Individual
KIM J GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS, NP, DNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
A932
SC
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
APMH932
SC
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN190459
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0203
—
SC
Enumeration date
09/19/2007
Last updated
06/18/2024
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