Doctor Name: | MRS. CARLEEN KAY GILMORE |
NPI Number: | 1588834246 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 44439 |
Business Practice Address: | 109 N Ober St Russell, KS - 676652439 |
Business Phone Number: | 7854833030 |
Business Fax Number: | |
Mailing Address: | 109 N Ober St, RUSSELL |
State: | KS |
Postal Code: | 676652439 |
Phone Number: | 7854833030 |
Fax Number: | |
NPI Enumeration Date: | 03/09/2008 |
NPI Last Update Date: | 03/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 44439 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |