Individual provider · Type 1 NPI

Samantha Rae Killgore, PNP-AC

Pediatric Nurse Practitioner · Dallas, TX

NPI number 1669938627 Active

Practice location

1935 Medical District Dr
Dallas, TX 75235-7701

Call (214) 456-2331 Map

Mailing address

3300 Discovery Dr
Little Elm, TX 75068-0710

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	AP140648 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1669938627

Samantha Rae Killgore, PNP-AC's National Provider Identifier is 1669938627, issued on Feb 14, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Dallas, TX. The record was last updated on Feb 14, 2019.