Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | ME120797 | FL |
N | 207PP0204X | Pediatric Emergency Physician | 11530 | NV |
N | 208000000X | Pediatrician | 11530 | NV |
N | 2080P0204X | Pediatric Emergency Doctor | 11530 | NV |
NPI | 1194718064 |
---|---|
Provider Name | Robert A Kilpatrick |
First Address | Denver, CO 80217-3862 |
Second Address | Lone Tree, CO 80124-5522 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2005 |
Last Update Date | 12/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I16756 | (02) | NV |