Kilgore, Kenneth Merle

Kilgore, Kenneth Merle is an sole proprietor health care provider with primary practice located at 2943 Highway 62 W , Mountain Home AR 72653-6535. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Kilgore, Kenneth Merle can be contacted via phone (870) 424-4900.

Contact Information

Primary practice address
2943 Highway 62 W Mountain Home AR 72653-6535
Phone: (870) 424-4900
Fax: (870) 424-4979
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X C7109 Arkansas

Profile Details

NPI number 1659374429
LBN Legal business name Kilgore, Kenneth Merle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2005
Last updated Aug 20th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659374429 NPPES
Arkansas MEDICAID 117693001

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