Healthcare Provider Details

I. General information

NPI: 1669786828
Provider Name (Legal Business Name): CHERYL L GILMAN CPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2010
Last Update Date: 11/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5609 W 61ST TER
MISSION KS
66202-3510
US

IV. Provider business mailing address

5609 W 61ST TER
MISSION KS
66202-3510
US

V. Phone/Fax

Practice location:
  • Phone: 913-766-5513
  • Fax:
Mailing address:
  • Phone: 913-766-5513
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: