Individual
KIM J GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS, NP, DNP
Contact information
Practice address
1218 MILLER AVE, COLUMBIA, SC 29203-6417
(803) 497-9611
(803) 764-2003
Mailing address
1425 PETER SEYMORE RD, GADSDEN, SC 29052-9593
(803) 360-1821
(803) 353-3622
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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