Danny Barton Kilgore, LPN
Licensed Practical Nurse in Kelso, WA. Individual provider (NPI-1).
NPI number1922592898
StatusActive
Last updated in NPPESJun 14, 2018
Details
- NPI
- 1922592898
- Entity type
- Individual (NPI-1)
- Name
- Danny Barton Kilgore
- Credential
- LPN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2018
- Last updated
- Jun 14, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LP60278343 | WA | Yes |
Practice location
305 Pacific Ave S Ste CKelso, WA 98626-1638
Phone 360-425-5378
Mailing address
305 Pacific Ave S Ste CKelso, WA 98626-1638
Phone 360-425-5378
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