Kilgore Spine And Joint Pllc is a
Nurse Practitioner based in Kilgore, Texas. Kilgore Spine And Joint Pllc is licensed to practice in * (Not Available) (license number ) and their current practice location is
1100 Stone Rd Ste 258, Kilgore, Texas. It can be reached at their office (for appointments etc.) via phone at
(903) 984-5522.
NPI number for Kilgore Spine And Joint Pllc is 1659170405 and their current mailing address is 1100 Stone Rd Ste 258, Kilgore, Texas. Kilgore Spine And Joint Pllc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1659170405.
Healthcare Provider's Profile
| Full Name | Kilgore Spine And Joint Pllc |
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| Type | Facility |
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| Speciality | Nurse Practitioner |
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| Location | 1100 Stone Rd Ste 258, Kilgore, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1659170405
- Provider Enumeration Date: 03/12/2025
- Last Update Date: 03/12/2025
Medical Identifiers
Medical identifiers for Kilgore Spine And Joint Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659170405 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kilgore Spine And Joint Pllc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kilgore Spine And Joint Pllc
1100 Stone Rd Ste 258,
Kilgore, TX 75662-5495
Ph: (903) 984-5522 | Kilgore Spine And Joint Pllc
1100 Stone Rd Ste 258,
Kilgore, TX 75662-5495
Ph: (903) 984-5522 |
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