KELVIN GILMORE FACT I RAS NPI 1508397076

NPI Information

NPI: 1508397076
Provider Name: KELVIN GILMORE, FACT I RAS
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
4851 S DARLINGTON AVE APT 6C
TULSA, OK
ZIP 74135
Phone: (918) 378-0538
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Kelvin Gilmore, FACT I RAS is an addiction (substance use disorder) counselor in Tulsa, OK. Kelvin Gilmore, FACT I RAS NPI is 1508397076. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4851 S DARLINGTON AVE APT 6C
TULSA, OK
ZIP 74135-247
Phone: (918) 378-0538

The enumeration date for this NPI number is 3/25/2017 and was last updated on 7/19/2017.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

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: 4/28/2024

NPI Synchronization or Removal

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