Individual
KRISTIN L KILGOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
4111 GATEWAY BLVD, NEWBURGH, IN 47630-8954
(812) 853-5300
(812) 858-4660
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 853-5300
(812) 858-4660
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71002698A
IN
363LP0200X
Pediatric Nurse Practitioner
71002698A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200910820
—
IN
Enumeration date
07/09/2008
Last updated
01/03/2013
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