Individual
JEREMY P KILBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-3257
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-3257
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01063719A
IN
207RP1001X
Pulmonary Disease Physician
01063719A
IN
207RP1001X
Pulmonary Disease Physician
Primary
15402
NV
Other
Enumeration date
10/18/2006
Last updated
09/27/2021
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