Kimberly Gillock in Aurora - Physician Assistant

Kimberly Gillock - NPI 1104096569

Kimberly Gillock is a Physician Assistant in Aurora, Colorado. Kimberly Gillock practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kimberly Gillock is 1104096569. The last update date is 2020-07-24.

Kimberly Gillock's current location address is 13123 E 16th Ave, Aurora, Colorado. You can contact this provider via phone number 7207771234. The mailing address for Kimberly Gillock is 13123 E 16th Ave, Aurora, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Kimberly Gillock
Address 13123 E 16th Ave, Aurora, Colorado
Phone Number 7207771234
Fax Number
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1104096569
Provider Enumeration Date 2008-03-01
Last Updated Date 2020-07-24

Provider Mailing Address Detail

Address 13123 E 16th Ave
City Aurora
State Colorado (CO)
Post Code 800457106
Phone Number 7207771234
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 2764
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
61688274 CO --

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FAQs about Kimberly Gillock

What is the unique 10-digit identifier code issued to Kimberly Gillock by the Centers for Medicare & Medicaid Services?

The Kimberly Gillock has been assigned the NPI (National Provider Identifier) 1104096569 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Kimberly Gillock is physically located?

The Kimberly Gillock is physically situated at the following address: 13123 E 16Th Ave, Aurora, CO, 800457106.

What is the Kimberly Gillock's area of specialization and corresponding taxonomy classification?

The Kimberly Gillock's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.

When did the Kimberly Gillock receive its 1104096569?

The Kimberly Gillock was issued its 1104096569 on 2008-03-01, which is the date when the organization was assigned this unique identifier.

When was the information related to Kimberly Gillock most recently updated or refreshed?

The details pertaining to the Kimberly Gillock, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-07-24.

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