Active NPIIndividual providerSole proprietor

Ms. Kimberly A Gillis, MS, CCC-SLP

Speech-Language Pathologist, in Pembroke, New Hampshire

NPI Number1144841131
Practice location
300 Belanger Dr, Pembroke, NH 03275-3258
Fax
—
Last updated
May 4, 2020

Kimberly Ann Gillis is a Speech-Language Pathologist, based in Pembroke, NH. Kimberly Ann Gillis practices in Pembroke, NH and has the professional credentials of MS, CCC-SLP. The NPI Number for Kimberly Ann Gillis is 1144841131 and holds a License No. 01106622. The current practice location address for Kimberly Ann Gillis is 300 Belanger Dr, Pembroke, NH 03275-3258 and can be reached out via phone at 603-485-9000.

Provider Profile Details

NPI Number
1144841131
Provider Name
Kimberly Ann Gillis
Credential
MS, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
300 Belanger Dr, Pembroke, NH 03275-3258
Phone Number
603-485-9000
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 30, 2020
Last Update Date
May 4, 2020
Certification Date
May 4, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 Belanger Dr
Pembroke, NH 03275-3258
Zip
03275-3258
Phone Number
603-485-9000
Pembroke, NH 03275Get directions →

Provider Business Mailing Address Details

Address
7 Deer Meadow RD
Chichester, NH 03258-6502
City
Chichester
State
NH
Zip
03258-6502
Phone Number
603-892-4271

License Information

License Number (1)
01106622
Taxonomy (1)
Speech-Language Pathologist, · 235Z00000X · Primary
License Number (2)
1405
License State (2)
NH
Taxonomy (2)
Speech-Language Pathologist, · 235Z00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Kimberly A Gillis, MS, CCC-SLP?

The NPI number of Ms. Kimberly A Gillis, MS, CCC-SLP is 1144841131. It was assigned on April 30, 2020 and is currently active in the NPPES registry.

What is the specialty of Ms. Kimberly A Gillis, MS, CCC-SLP?

Ms. Kimberly A Gillis, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed under license number 01106622.

Where does Ms. Kimberly A Gillis, MS, CCC-SLP practice?

The practice location is 300 Belanger Dr, Pembroke, NH 03275-3258. The office can be reached at 603-485-9000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144841131 directly on the NPPES registry website.

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