# KILGORE RESPIRATORY SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477741114
- **Authorized official:** MRS. KELLY ANN BIETSCH RRT (PRESIDENT)
- **Authorized official phone:** (573) 424-0202

## Contact information

- **Practice address:** 1815 CHAPEL HILL RD STE 210, COLUMBIA, MO 65203-5420
- **Practice address phone:** (573) 442-8338
- **Practice address fax:** (573) 446-5008
- **Mailing address:** 1815 CHAPEL HILL RD STE 210, COLUMBIA, MO 65203-5420
- **Mailing address phone:** (573) 442-8338
- **Mailing address fax:** (573) 446-5008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 10/09/2007
- **Last updated:** 08/13/2019