Individual
KIERSTON GALLIMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MEDICAL ASSISTANT
Contact information
Practice address
6742 15TH AVE LOWR UNIT, KENOSHA, WI 53143-4946
(847) 708-9671
Mailing address
6742 15TH AVE LOWR UNIT, KENOSHA, WI 53143-4946
(847) 708-9671
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
374J00000X
Doula
—
—
Other
Enumeration date
10/28/2021
Last updated
05/21/2024
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