Individual
MRS. LUCINDA LOU KIL GILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
17434 STATE ROAD 23, SOUTH BEND, IN 46635-1743
(574) 329-0241
(574) 272-6429
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71015554A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300098665
—
IN
Enumeration date
07/29/2024
Last updated
03/11/2026
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