Individual
DEEDEE MARIE KILOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
408 S VERNE ST, ROCKPORT, TX 78382-4812
(515) 554-1829
Mailing address
408 S VERNE ST, ROCKPORT, TX 78382-4812
(515) 554-1829
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
P51160
IA
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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