Individual provider · Type 1 NPI
Kimberly Joy Trainer Gilliam, DC
Chiropractor · State College, PA
NPI number
1720115546
Active
Practice location
112 S Fraser St
State College, PA 16801-3849
Fax (248) 264-4383
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | DC004764L (PA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1720115546
Kimberly Joy Trainer Gilliam, DC's National Provider Identifier is 1720115546, issued on Feb 28, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in State College, PA. The record was last updated on Nov 10, 2014.