Individual
MISS KAYLEIGH ANN GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
811 US 70 HWY W, GARNER, NC 27529-2541
(919) 235-6565
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-06023
NC
363AM0700X
Medical Physician Assistant
0010-06023
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588029052
—
NC
Enumeration date
12/28/2015
Last updated
07/12/2023
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