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Contact Information

KELLI GILLMAN
1083 E RELHAM DR
LOXLEY, AL36551-2406
 Phone: 251-964-4011
 Fax: 251-964-4012
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Community Health

363LC1500X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
 

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KELLI GILLMAN · (Female)

NPI # 1295196251
Status Active
Credentials
Entity Individual
Enumeration date 03/17/2016
Last updated 03/17/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 1-132253
  • AL Other 1-132253 STATE LICENSE
Hospital affiliation(s)
  • SOUTH BALDWIN REGIONAL MEDICAL CENTER - (Acute Care)
    1613 NORTH MCKENZIE STREET
    FOLEY, AL 36535
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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