Healthcare Provider Details

I. General information

NPI: 1952230286
Provider Name (Legal Business Name): BUFFALO CENTER MEDICAL AND SPECIALTY SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 N MAIN ST
BUFFALO CENTER IA
50424-7731
US

IV. Provider business mailing address

115 N MAIN ST
BUFFALO CENTER IA
50424-7731
US

V. Phone/Fax

Practice location:
  • Phone: 507-238-4949
  • Fax: 507-238-4949
Mailing address:
  • Phone: 507-238-4949
  • Fax: 507-238-4949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: RICHARD KILGORE
Title or Position: OWNER
Credential:
Phone: 507-238-4949