Individual
KATHERINE ANN GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-PC
Contact information
Practice address
2801 BLUE RIDGE RD, RALEIGH, NC 27607-0114
(984) 974-7337
Mailing address
143 CALLAN PARK LN, CARY, NC 27511-3476
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5016762
NC
363LP0200X
Pediatric Nurse Practitioner
GILM-G7052
NC
Other
Enumeration date
08/11/2022
Last updated
09/06/2024
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