Individual
LISA S GILMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7301 MISSION RD STE 350, PRAIRIE VILLAGE, KS 66208-3075
(913) 588-6300
(913) 274-3515
Mailing address
2106 OLATHE BLVD MS 4004, KANSAS CITY, KS 66160-7816
(913) 588-6300
(913) 274-3515
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
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