Individual
AMANDA MARIE KILGORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
704 S WEBSTER AVE STE 501, GREEN BAY, WI 54301-3528
(920) 433-6050
(920) 433-6049
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7210
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11401-33
WI
363LF0000X
Family Nurse Practitioner
4704384074
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F08210007
AMERICAN ACADEMY OF NURSE PRACTITIONERS
—
Enumeration date
10/22/2021
Last updated
12/08/2023
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