Kilgore, Kenneth Merle
Kilgore, Kenneth Merle is an sole proprietor health care provider with primary practice located at 2943 Highway 62 W , Mountain Home AR 72653-6535. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Kilgore, Kenneth Merle can be contacted via phone (870) 424-4900.Contact Information
Primary practice address
2943 Highway 62 W
Mountain Home AR 72653-6535
Phone: (870) 424-4900
Fax: (870) 424-4979
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | C7109 | Arkansas |
Profile Details
| NPI number | 1659374429 |
|---|---|
| LBN Legal business name | Kilgore, Kenneth Merle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2005 |
| Last updated | Aug 20th, 2021 - about 5 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 | 1659374429 | NPPES |
| Arkansas | MEDICAID | 117693001 |
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