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Individual
KINSHASA D KILGORE
Active
Individual
KINSHASA D KILGORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C05240
MD
363A00000X
Physician Assistant
PA06008
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198312401
—
TX
01
—
8Y8981
BCBS
TX
Enumeration date
10/21/2008
Last updated
02/13/2024
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