Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | 215876-4405 | UT |
NPI | 1033319371 |
---|---|
Provider Name | Mr. Tek Hobert Kilgore JR. |
First Address | Salt Lake City, UT 84112 |
Second Address | Salt Lake City, UT 84112 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2007 |
Last Update Date | 01/03/2018 |