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Individual

MRS. CHRISTINA KILGORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-PC

Contact information

Practice address
2175 N ALMA SCHOOL RD, STE C104, CHANDLER, AZ 85224-2879
(480) 222-6770
Mailing address
2175 N ALMA SCHOOL RD STE C104, CHANDLER, AZ 85224-2879

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
223215
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN188141
RN
AZ
Enumeration date
03/18/2019
Last updated
06/11/2019
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