Individual
MISS JACQUELINE ROSE KILGORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2841 W NORTH COUNTY LINE RD, FARWELL, MI 48622-9239
(989) 802-2814
Mailing address
2841 W NORTH COUNTY LINE RD, FARWELL, MI 48622-9239
(989) 802-2814
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704313555
MI
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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