KIMBERLY CAROLYN JOHNSON GILLIAM

PHILADELPHIA, PA
NPI1154594273
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: PA  OS017109)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NJ  25MB08474800)
Enumeration Date2008-04-09
Last Update Date2014-05-22
Business Address
-- KIMBERLY CAROLYN JOHNSON GILLIAM D.O.
1401 S 4TH ST
PHILADELPHIA, PA 19147-5948
Phone number: 215-339-1070
Mailing Address
-- KIMBERLY CAROLYN JOHNSON GILLIAM D.O.
432 N 6TH ST
PHILADELPHIA, PA 19123-4004
Phone number: 215-925-2400