Provider Demographics
NPI:1306800743
Name:KILE, ROBERT M (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:M
Last Name:KILE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4780 W ANN RD
Mailing Address - Street 2:SUITE 5, #296
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89031-3470
Mailing Address - Country:US
Mailing Address - Phone:651-398-5827
Mailing Address - Fax:
Practice Address - Street 1:4780 W ANN RD
Practice Address - Street 2:SUITE 5-296
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89031-3470
Practice Address - Country:US
Practice Address - Phone:651-232-3348
Practice Address - Fax:651-232-3539
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-13
Last Update Date:2016-07-29
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Provider Licenses
StateLicense IDTaxonomies
MN22183207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNC91927Medicare UPIN