KIM J GILMORE CLINICAL NURSE SPECI NPI 1184810665

NPI Information

NPI: 1184810665
Provider Name: KIM J GILMORE, CLINICAL NURSE SPECI
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
1735 SAINT JULIAN PL STE 102
COLUMBIA, SC
ZIP 29204
Phone: (803) 497-9611
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Kim J Gilmore, CLINICAL NURSE SPECI is an adult health nurse practitioner in Columbia, SC. Kim J Gilmore, CLINICAL NURSE SPECI NPI is 1184810665. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1735 SAINT JULIAN PL STE 102
COLUMBIA, SC
ZIP 29204-402
Phone: (803) 497-9611
Fax: (803) 764-2003

The NPI 1184810665 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/19/2007 and was last updated on 7/15/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	A932	SOUTH CAROLINA	Yes
2	364SP0809X	Clinical Nurse Specialist	Psychiatric/Mental Health, Adult	APMH932	SOUTH CAROLINA	No
3	364SP0809X	Clinical Nurse Specialist	Psychiatric/Mental Health, Adult	RN190459	GEORGIA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NP0203	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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