Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 23959 | WV |
Y | 208000000X | Pediatrician | E-10917 | AR |
N | 2080P0208X | Pediatric Infectious Diseases | 23959 | WV |
N | 2080P0208X | Pediatric Infectious Diseases | TP083 | KY |
NPI | 1407060569 |
---|---|
Provider Name | April E Kilgore |
First Address | Little Rock, AR 72202-3500 |
Second Address | Springdale, AR 72762-0845 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2007 |
Last Update Date | 22/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
224766001 | (05) | AR |
3810017714 | (05) | WV |
7100117820 | (05) | KY |