Basic Information
| Provider Information | |||||||||
| NPI: | 1306800743 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KILE | ||||||||
| FirstName: | ROBERT | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4780 W ANN RD | ||||||||
| Address2: | SUITE 5, #296 | ||||||||
| City: | NORTH LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 890313470 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6513985827 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4780 W ANN RD | ||||||||
| Address2: | SUITE 5-296 | ||||||||
| City: | NORTH LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 890313470 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6512323348 | ||||||||
| FaxNumber: | 6512323539 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/13/2006 | ||||||||
| LastUpdateDate: | 07/29/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 22183 | MN | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.