Individual
DR. KENNETH MERLE KILGORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2943 HIGHWAY 62 W, MOUNTAIN HOME, AR 72653-6535
(870) 424-4900
(870) 424-4979
Mailing address
PO BOX 444, MOUNTAIN HOME, AR 72654-0444
(870) 424-4900
(870) 424-4979
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
C7109
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117693001
—
AR
Enumeration date
05/24/2005
Last updated
08/20/2021
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