Individual
KELLY GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6550 FANNIN ST, STE 2307, HOUSTON, TX 77030-2717
(713) 790-9250
Mailing address
508 MEDICAL CENTER BLVD STE 150, CONROE, TX 77304-2845
(936) 494-2201
(936) 494-2217
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
M7213
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190579602
—
TX
Enumeration date
09/07/2007
Last updated
10/04/2019
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