Individual
RICHARD A KILGORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
532 1ST ST NW, BRITT, IA 50423-1227
(641) 843-5123
Mailing address
204 S 8TH ST, CLEAR LAKE, IA 50428-1910
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
146695
MT
367500000X
Certified Registered Nurse Anesthetist
Primary
557050
KS
Other
Enumeration date
11/30/2011
Last updated
03/20/2024
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