Individual
RICHARD CRAIG KILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1301 BARBARA JORDAN BLVD STE 301, AUSTIN, TX 78723-3078
(512) 324-0000
Mailing address
1301 BARBARA JORDAN BLVD STE 301, AUSTIN, TX 78723-3078
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2022
Last updated
10/11/2022
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