Provider Demographics
NPI:1306519046
Name:GILMORE, KRISTINA VICTORIA (PA)
Entity type:Individual
Prefix:
First Name:KRISTINA
Middle Name:VICTORIA
Last Name:GILMORE
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Gender:F
Credentials:PA
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Mailing Address - Street 1:1262 BROOKTRAIL DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:CA
Mailing Address - Zip Code:94565-7634
Mailing Address - Country:US
Mailing Address - Phone:925-300-6353
Mailing Address - Fax:
Practice Address - Street 1:2637 SHADELANDS DR
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-2512
Practice Address - Country:US
Practice Address - Phone:925-945-6600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-28
Last Update Date:2025-01-06
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant