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NPI Code Detail

MEDICARE: KELSI GILMORE BSN, RN, IBCLC

MEDICARE: KELSI GILMORE BSN, RN, IBCLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WL0100XLactation Consultant (Registered Nurse)L-319898MO

General Provider Information

NPI Number : 1023955168
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSI GILMORE BSN, RN, IBCLC
Provider Business Mailing Address
First Line : 10016 N MANCHESTER AVE
Second Line :
City : KANSAS CITY
State : MO
Zip : 64157-5803
Country : US
Telephone Number : 913-608-2452
Fax Number :
Provider Business Practice Location Address
First Line : 8781 N PLATTE PURCHASE DR
Second Line :
City : KANSAS CITY
State : MO
Zip : 64155-1829
Country : US
Telephone Number : 816-587-3200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2026
Last Update Date : 04/29/2026

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