Provider Demographics
NPI:1164768156
Name:KILGOUR, APRIL (PMHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:
Last Name:KILGOUR
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2433 UPPER MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:SANBORN
Mailing Address - State:NY
Mailing Address - Zip Code:14132-9389
Mailing Address - Country:US
Mailing Address - Phone:716-632-3205
Mailing Address - Fax:716-632-3233
Practice Address - Street 1:9070 MAIN ST
Practice Address - Street 2:
Practice Address - City:CLARENCE
Practice Address - State:NY
Practice Address - Zip Code:14031-1825
Practice Address - Country:US
Practice Address - Phone:716-632-3205
Practice Address - Fax:716-632-3233
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-18
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY401545363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health