Kilgore, Colleen Marcia
Kilgore, Colleen Marcia is an individual health care provider with primary practice located at 1620 Broughton St , Orangeburg SC 29115-4867. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kilgore, Colleen Marcia can be contacted via phone (803) 531-6030.Contact Information
Primary practice address
1620 Broughton St
Orangeburg SC 29115-4867
Phone: (803) 531-6030
Fax: (803) 531-6056
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 616 | South Carolina |
Profile Details
| NPI number | 1508882184 |
|---|---|
| LBN Legal business name | Kilgore, Colleen Marcia |
| Credentials | FNP APRN BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2006 |
| Last updated | Jan 3rd, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508882184 | NPPES |
| South Carolina | MEDICAID | F75463 |
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