Gail Key Kimball, APRN, A/GNP-C
Individual provider Active NPI Gerontology Nurse Practitioner · Spencer, NC
NPI 1205910692 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1205910692
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- 600037 (NC)
- Practice address
- 300 N Salisbury Ave
Spencer, NC 28159-2514 - Phone
- (704) 633-7070
- Fax
- (704) 633-7627
- NPI assigned
- Oct 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 600037 | NC | MD | Adult Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 600037 | NC | |
| Gerontology Nurse Practitioner | 363LG0600X | 600037 | NC | Yes |
Addresses
Primary practice location
300 N Salisbury Ave
Spencer, NC 28159-2514
Mailing address
300 N Salisbury Ave
Spencer, NC 28159-2514
Phone (704) 633-7070
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600037 | Other | NC | NC LICENSE NUMBE |
Other providers in Spencer, NC
- Lakisha S Hayes
- Benita Jo Hutchinson
- Brent Justin Icenhour
- Loren Jones
- Kerr Drug Inc
- Jennifer Carole Linn
- Pamela Dawn Lowe
- Melanie Kristen Marshall
- Melanie K. Marshall, DDS, MD, PA
- Amber Grace Murray
All providers in Spencer, NC · Gerontology Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.