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General NPI Number Information
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NPI Number | 1407060569
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Entity Type | Individual
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Provider Name | APRIL E KILGORE MD
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Gender | Female
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 2719 SE I ST
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City | BENTONVILLE
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State | AR
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Zip | 72712-3996
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Country | US
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Telephone | 479-273-5437
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Fax | 479-273-9932
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Provider Business Mailing Address
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Address Line | 2719 SE I ST
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City | BENTONVILLE
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State | AR
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Zip | 72712-3996
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Country | US
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Telephone | 479-273-5437
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Fax | 479-273-9932
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0208X
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Taxonomy Name | Pediatric Infectious Diseases Physician
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License Number | 23959
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 23959
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 2080P0208X
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Taxonomy Name | Pediatric Infectious Diseases Physician
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License Number | TP083
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | E-10917
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License Number State | AR
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