Carolyn F. Kilgore, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L19824 Issued in AR

Practice address

2410 Hwy 65 North
McGehee, AR 71654

Phone

(870) 222-3107

Fax

(870) 222-6741

NPI assigned

Oct 8, 2008

Last updated

Oct 8, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Delta Counseling Associates Inc

  • Community/Behavioral Health Agency
  • Monticello, AR
  • NPI 1053364612
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223424000000",
    "number": "1578714564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 ROBERTS DRIVE",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "71655",
            "telephone_number": "870-367-9732",
            "fax_number": "870-460-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 HWY 65 NORTH",
            "city": "MCGEHEE",
            "state": "AR",
            "postal_code": "71654",
            "telephone_number": "870-222-3107",
            "fax_number": "870-222-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILGORE",
        "first_name": "CAROLYN",
        "middle_name": "F.",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AR",
            "license": "L19824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell Blake Jasper, DPT
• Mary Anjeanette Johnson, RN
• Tammy R Johnson
• Gwendolyn Faye Jones, RN
• Coretta Jordan, CNA
• Deborah A Kilgore
• Roger D Lafleur, MS LPE
• John M Lally, DDS
• Judy Faye Lattimore, RN
• Candace Lee, DAY TREATMENT TECH.

• Licensed Practical Nurse in McGehee, AR
• Providers in McGehee, AR by specialty
• Licensed Practical Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.