Individual provider · Type 1 NPI

Gilson Peter Kingman

Student in an Organized Health Care Education/Training Program · Pocatello, ID

NPI number 1124949789 Active

Practice location

921 S 8th Ave Stop 8253
Pocatello, ID 83209-0002

Specialties and licenses

TaxonomyCodeLicense
Basic Emergency Medical Technician 146N00000XP569082 (NC)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124949789

Gilson Peter Kingman's National Provider Identifier is 1124949789, issued on Jul 21, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pocatello, ID. The record was last updated on Jul 21, 2026.