NPI 1659374429 · live from the CMS NPI Registry
Kenneth Merle Kilgore, M.D.
Ophthalmology in Mountain Home, AR. National Provider Identifier 1659374429, active.
NPI record
| NPI | 1659374429 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 2943 Highway 62 W, Mountain Home, AR 72653 |
| Practice phone | 870-424-4900 |
| Mailing address | Po Box 444, Mountain Home, AR 72654 |
| Enumerated | May 24, 2005 |
| Last updated | August 20, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | C7109 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.