Individual provider · NPI-1

Lesli Kilgore

Durable Medical Equipment & Medical Supplies · Rockwall, TX

NPI number1255688289
StatusActive
Last updated in NPPESAug 9, 2012

Details

NPI
1255688289
Entity type
Individual (NPI-1)
Name
Lesli Kilgore
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 9, 2012
Last updated
Aug 9, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes

Practice location

1667 Chesterwood Dr
Rockwall, TX 75032-7378

Phone 469-556-3057

Mailing address

1667 Chesterwood Dr
Rockwall, TX 75032-7378

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