Kelsey Gilliam
Kelsey Gilliam is a Nurse Practitioner in Wichita, Kansas. Qualified in 2021, 5 years ago. Practices with Primary Care Associates LLC, a 13-clinician group and accepts Medicare assignment. Licensed in Kansas.
- Years since qualifying
- 5
- Licensed in
- KS
- In the registry since
- 2021
Practice location Address checks out
9350 E 35th St N Ste 101Wichita, KS 67226-2022
Phone: (316) 165-1308
Fax: (316) 265-4480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 53-80534 (KS) |
|---|
Record details
| NPI number | 1932876455 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 23, 2021 |
| Last updated in NPPES | November 18, 2021 |
| Certification date | November 18, 2021 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Primary Care Associates Llc — 13 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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