Individual
MRS. PAMELA ELLEN KILMARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6820 BERRYHILL ST, MILTON, FL 32570-2265
(850) 981-1195
(850) 981-2561
Mailing address
6820 BERRYHILL ST, MILTON, FL 32570-2265
(850) 981-1195
(850) 981-2561
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
238395
MA
367500000X
Certified Registered Nurse Anesthetist
ARNP2581152
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA36544
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3066347
MEDICARE
FL
05
—
3066347
—
FL
Enumeration date
11/14/2005
Last updated
02/29/2008
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