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Individual

DR. EARL ROBERT KILGORE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
1801 HICKMAN RD, DES MOINES, IA 50314-1505
(515) 282-2200
Mailing address
1801 HICKMAN RD, DES MOINES, IA 50314-1505
(515) 282-2200

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001043
IA
103TC2200X
Clinical Child & Adolescent Psychologist
001043
IA

Other

Enumeration date
07/02/2012
Last updated
05/23/2013
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