Kilgore, Kortni

Kilgore, Kortni is an individual health care provider with primary practice located at 403 Permian Way Ste D , Villa Rica GA 30180-3226. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kilgore, Kortni can be contacted via phone (770) 627-7246.

Contact Information

Primary practice address
403 Permian Way Ste D Villa Rica GA 30180-3226
Phone: (770) 627-7246
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1174026033
LBN Legal business name Kilgore, Kortni
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2018
Last updated Mar 16th, 2018 - about 7 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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