Individual provider · Type 1 NPI

Jeannette Larue Kilgard, PA-C

Medical Physician Assistant · Dallas, TX

NPI number 1992013239 Active

Practice location

17101 Preston Rd, Suite 200
Dallas, TX 75248-1331

Fax (972) 239-1597

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA02354 (TX)

Medical Physician Assistant: Definition to come...

10 other providers at this address

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About NPI 1992013239

Jeannette Larue Kilgard, PA-C's National Provider Identifier is 1992013239, issued on Sep 21, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Dallas, TX. The record was last updated on Jun 24, 2014.