Individual
KIRSTEN NICOLE GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2118 25TH ST STE C, COLUMBUS, IN 47201-3240
(812) 376-9427
(812) 378-6174
Mailing address
PO BOX 775383, CHICAGO, IL 60677-5383
(812) 376-5315
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28170544A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IN2762361
MEDICARE
IN
Enumeration date
09/13/2021
Last updated
04/08/2026
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