Individual
KIRANDEEP K GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1090 NORTH PARK PLACE, COEUR D'ALENE, ID 83814
(208) 292-0292
(208) 292-0705
Mailing address
1090 NORTH PARK PLACE, COEUR D'ALENE, ID 83814
(208) 292-0292
(208) 292-0705
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20A11328
CA
208000000X
Pediatrics Physician
20A11328
CA
Other
Enumeration date
05/23/2007
Last updated
10/04/2013
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