MEDICARE: ROBERT M KILE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	22183	MN

General Provider Information

NPI Number	:	1306800743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT M KILE MD

Provider Business Mailing Address
First Line	:	4780 W ANN RD
Second Line	:	SUITE 5, #296
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-3470
Country	:	US
Telephone Number	:	651-398-5827
Fax Number	:

Provider Business Practice Location Address
First Line	:	4780 W ANN RD
Second Line	:	SUITE 5-296
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-3470
Country	:	US
Telephone Number	:	651-232-3348
Fax Number	:	651-232-3539

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2006
Last Update Date	:	07/29/2016

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