Gilmore, Kelly A

Gilmore, Kelly A is an individual health care provider with primary practice located at 506 New Boston St , Canastota NY 13032-4386. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Gilmore, Kelly A can be contacted via phone (315) 697-5460.

Contact Information

Primary practice address
506 New Boston St Canastota NY 13032-4386
Phone: (315) 697-5460
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 246802 New York

Profile Details

NPI number 1740331214
LBN Legal business name Gilmore, Kelly A
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2007
Last updated Jul 9th, 2007 - about 19 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740331214 NPPES
New York MEDICAID 02121117

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