Organization
ESSENTIAL HEALTHCARE LLC
Active
Other names
Lakeside Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
AIMEE KILGO CRNP (PRESIDENT)
(256) 266-1544
Entity
Organization
Contact information
Practice address
1260 CHESNUT BYPASS, SUITE A, CENTRE, AL 35960-2834
(256) 266-1544
(256) 266-1531
Mailing address
1260 CHESNUT BYP STE A, CENTRE, AL 35960-2834
(256) 266-1544
(256) 266-1531
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
224799
—
AL
Enumeration date
06/18/2018
Last updated
12/09/2022
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