Individual
MRS. ANITA SUE KILGORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27753 S WELLING RD, WELLING, OK 74471-2202
(918) 457-4999
Mailing address
27753 S WELLING RD, WELLING, OK 74471-2202
(918) 457-4999
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/05/2011
Last updated
07/31/2015
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