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:
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Health care specialties

SpecialtyCodeLicense #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 2 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 1184810665 NPPES
South Carolina MEDICAID NP0203

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