Killgore, Philip Jake

Killgore, Philip Jake is an individual health care provider with primary practice located at 1 Medical Plaza Pl , Minden LA 71055-3330. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Killgore, Philip Jake can be contacted via phone (318) 377-2321.

Contact Information

Primary practice address
1 Medical Plaza Pl Minden LA 71055-3330
Phone: (318) 377-2321
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 205140 Louisiana

Profile Details

NPI number 1295280436
LBN Legal business name Killgore, Philip Jake
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2016
Last updated Jul 18th, 2019 - about 5 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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