Individual
KIMBERLY GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
606 OAKESDALE AVE SW STE C200, RENTON, WA 98057-5227
(866) 259-1629
(855) 666-8541
Mailing address
PO BOX 639295 DEPT 93394, CINCINNATI, OH 45263-9295
(484) 346-1692
(855) 618-6655
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AG137596
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
AG137596
TX
Other
Enumeration date
06/05/2018
Last updated
03/06/2023
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