Individual
KORTNEY KYLE KILLGORE-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
235 MAIN STREET, WAITSBURG, WA 99361
(509) 337-6311
(509) 337-6011
Mailing address
1012 SOUTH THIRD STREET, DAYTON, WA 99328
(509) 382-2531
(509) 382-3205
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60281165
WA
Other
Enumeration date
06/06/2012
Last updated
05/14/2014
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