Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deroderick Anthony Kilgore

Individual provider Attendant Care Provider · NPI 1326983503

Deroderick Anthony Kilgore is an Attendant Care Provider in Las Vegas, Nevada. Practices as a sole proprietor. Licensed in Nevada.

Licensed in
NV
In the registry since
2026

Practice location Address checks out

2121 E Flamingo Rd Ste 212
Las Vegas, NV 89119-5124
Phone: (702) 981-1484
Fax: (702) 995-0242
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Attendant Care Provider (primary) Taxonomy 3747A0650X (NV)

Record details

NPI number1326983503
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 22, 2026
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026

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