Individual
RITA KILGORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
155 CALLE PORTAL STE 700, SIERRA VISTA, AZ 85635-2973
(520) 459-0203
(520) 364-4261
Mailing address
1205 F AVE, DOUGLAS, AZ 85607-1920
(520) 364-6852
(520) 364-4261
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
22504
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199449
—
AZ
Enumeration date
01/19/2006
Last updated
07/21/2022
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