Individual
CHAUNTA KILGOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 N HIGH STREET EXTENDED, SMYRNA, DE 19977-1183
(833) 886-2277
Mailing address
590 NAAMANS RD, CLAYMONT, DE 19703-2308
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L2-0012014
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L2-0012014
—
DE
Enumeration date
02/01/2022
Last updated
02/01/2022
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