What is Kendall Gillum's NPI number?

Kendall Gillum's National Provider Identifier (NPI) is 1235942368, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kendall Gillum's specialty?

Kendall Gillum is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Kendall Gillum located?

Kendall Gillum's practice location on file with NPPES is 4635 Nicols Rd # 104, Eagan, MN 55122-3337.

What is Kendall Gillum's phone number?

The practice phone number listed in the NPPES registry for Kendall Gillum is (612) 289-6480.

Is Kendall Gillum's NPI active?

Yes — Kendall Gillum's NPI (1235942368) is active in the NPPES registry as of the last update on 2025-01-31.

IndividualActive

Kendall Gillum

NPI 1235942368 · Behavior Technician · Eagan, MN

Kendall Gillum is a Behavior Technician provider in Eagan, MN (NPI 1235942368).

Provider details

NPI number: 1235942368
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Basic profile(49/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

4635 Nicols Rd # 104

Eagan, MN 55122-3337

Phone: (612) 289-6480

Street-level locationGet directions

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Mailing address