Individual
MRS. ANDREA LAUREN KILGORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1701 INNOVATION DR, YORK, PA 17408-8815
(717) 843-8623
(717) 862-5576
Mailing address
1701 INNOVATION DR, YORK, PA 17408-8815
(717) 843-8623
(717) 862-5576
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA054992
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103158610
—
PA
Enumeration date
07/14/2011
Last updated
12/10/2020
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