Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly Gillock, PA

Individual provider Medical Physician Assistant · NPI 1104096569

Kimberly Gillock, PA is a Medical Physician Assistant in Aurora, Colorado. Licensed in Colorado. Registered with an NPI since 2008.

Licensed in
CO
In the registry since
2008
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

13123 E 16th Ave
Aurora, CO 80045-7106
Phone: (720) 777-1234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2764 (CO)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA.0002764 (CO)

Record details

NPI number1104096569
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 1, 2008
Last updated in NPPESJuly 24, 2020
Certification dateJuly 24, 2020

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