Individual
LISA S GILMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
04-27032
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100367040A
—
KS
05
—
205132004
—
MO
01
—
27436014
BCBS KANSAS CITY
MO
01
—
370017395
RAILROAD MEDICARE
—
01
—
675310
FIRSTGUARD
KS
Enumeration date
08/30/2006
Last updated
07/17/2025
Update your record
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