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General NPI Number Information
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NPI Number | 1578199477
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Entity Type | Individual
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Provider Name | BRIGID M KILEY PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/23/2020
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 900 W 38TH ST STE 400
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City | AUSTIN
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State | TX
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Zip | 78705-1141
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Country | US
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Telephone | 512-206-3600
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Fax | 512-206-3604
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Provider Business Mailing Address
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Address Line | 4158 TREELINE DR
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City | NORTON SHORES
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State | MI
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Zip | 49441-4500
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Country | US
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Telephone | 231-903-7369
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Fax |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA19292
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | PA19292
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License Number State | TX
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