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DERODERICK ANTHONY KILGORE
NPI 1326983503
Technician - Attendant Care Provider in Las Vegas, NV

Active since April 22, 2026
2121 E FLAMINGO RD STE 212, LAS VEGAS, NV 89119(702) 981-1484(702) 995-0242 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Deroderick Anthony Kilgore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERODERICK ANTHONY KILGORE (NPI 1326983503) is an individual attendant care provider provider in Las Vegas, Nevada and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1326983503
Entity TypeIndividualMale
Primary Taxonomy3747A0650X
Provider Legal NameDERODERICK ANTHONY KILGORE
Location Address2121 E FLAMINGO RD STE 212Las Vegas, NV 89119-5124
Mailing Address2121 E Flamingo Rd Ste 212Las Vegas, NV 89119-5124 · (702) 981-1484 · Fax (702) 995-0242
Phone(702) 981-1484
Fax(702) 995-0242
Sole ProprietorYes
Enumeration DateApril 22, 2026
NPPES CertifiedApril 22, 2026
✔ NPI 1326983503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers
Taxonomy Code3747A0650X
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
2121 E FLAMINGO RD STE 212, Las Vegas, NV 89119
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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZAHRIA D SMITH
Technician (Personal Care Attendant)
2121 E FLAMINGO RD STE 212
LAS VEGAS, NV 89119
Clark County (702) 981-1484
SULEIDY MAYTE SORIA FLEITES
Technician (Personal Care Attendant)
2121 E FLAMINGO RD STE 212
LAS VEGAS, NV 89119
Clark County (702) 981-1484
CARIDAD ACOSTA MARTINEZ
Technician (Attendant Care Provider)
2121 E FLAMINGO RD STE 212
LAS VEGAS, NV 89119
Clark County (702) 981-1484
MILAGRO DE LA CARIDAD RODRIGUEZ GRASS
Technician (Attendant Care Provider)
2121 E FLAMINGO RD STE 212
LAS VEGAS, NV 89119
Clark County (702) 981-1484
LILIAM ENRIQUEZ BETANCOURT
Technician (Personal Care Attendant)
2121 E FLAMINGO RD STE 212
LAS VEGAS, NV 89119
Clark County (702) 981-1484
DAILY MONTES DE OCA GAINZA
Technician (Personal Care Attendant)
2121 E FLAMINGO RD STE 212
LAS VEGAS, NV 89119
Clark County (702) 981-1484
RIHANNA DUENAS HERNANDEZ
Technician (Personal Care Attendant)
2121 E FLAMINGO RD STE 212
LAS VEGAS, NV 89119
Clark County (702) 981-1484
HEATHER MARIE HARRIS
Technician (Personal Care Attendant)
2121 E FLAMINGO RD STE 212
LAS VEGAS, NV 89119
Clark County (702) 981-1484

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deroderick Kilgore's NPI number?

The NPI number for Deroderick Kilgore is 1326983503. It was assigned to this individual provider in the NPPES registry on April 22, 2026.

Where is Deroderick Kilgore located?

Deroderick Kilgore practices at 2121 E Flamingo Rd Ste 212, Las Vegas, NV 89119. The listed phone number is (702) 981-1484.

What is Deroderick Kilgore's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Deroderick Kilgore was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.