Individual
DERODERICK ANTHONY KILGORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2121 E FLAMINGO RD STE 212, LAS VEGAS, NV 89119-5124
(702) 981-1484
(702) 995-0242
Mailing address
2121 E FLAMINGO RD STE 212, LAS VEGAS, NV 89119-5124
(702) 981-1484
(702) 995-0242
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
NV
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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