Individual
GERALDINE A KILDOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3500 ORCHARD PL, BELLINGHAM, WA 98225-1749
(360) 671-3900
(360) 647-0882
Mailing address
709 W ORCHARD DR, SUITE #4, BELLINGHAM, WA 98225-1766
(360) 318-8800
(360) 318-1085
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30000695
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0070741
L & I (REGULAR)
WA
01
—
0500013379
RAILROAD MEDICARE
WA
01
—
3244KI
REGENCE BLUESHIELD
WA
01
—
423898034
GROUP HEALTH COOPERATIVE
WA
05
—
8553208
—
WA
01
—
8932019
L & I (CRIME VICTIM)
WA
Enumeration date
07/16/2006
Last updated
07/24/2012
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