Gilmore, Kim J
Gilmore, Kim J is an sole proprietor health care provider with primary practice located at 1218 Miller Ave , Columbia SC 29203-6417. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult is her primary health care specialty. Gilmore, Kim J can be contacted via phone (803) 497-9611.Contact Information
Primary practice address
1218 Miller Ave
Columbia SC 29203-6417
Phone: (803) 497-9611
Fax: (803) 764-2003
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | A932 | South Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult | 364SP0809X | APMH932 | South Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult | 364SP0809X | RN190459 | Georgia |
Profile Details
NPI number | 1184810665 |
---|---|
LBN Legal business name | Gilmore, Kim J |
Credentials | CNS, NP, DNP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 19th, 2007 |
Last updated | Jun 18th, 2024 - about 3 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1184810665 | NPPES |
South Carolina | MEDICAID | NP0203 |
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