Organization · Type 2 NPI

Kilgore Spine and Joint PLLC

Nurse Practitioner · Kilgore, TX

NPI number 1659170405 Active · reactivated Oct 15, 2025

Practice location

1100 Stone Rd Ste 258
Kilgore, TX 75662-5495

Specialties and licenses

TaxonomyCodeLicense
Chiropractor 111N00000XNone listed
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

About NPI 1659170405

Kilgore Spine and Joint PLLC's National Provider Identifier is 1659170405, issued on Mar 12, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Kilgore, TX. The record was last updated on Oct 15, 2025.