Individual
KRISTIN MARIE GILLELAND
Active
Individual
KRISTIN MARIE GILLELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
1699
TN
363A00000X
Physician Assistant
3994
TN
363AS0400X
Surgical Physician Assistant
Primary
3994
TN
Other
Enumeration date
04/18/2015
Last updated
03/04/2025
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