Individual
DR. JOHN W. KILGORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1027 BELLEVUE AVE, SUITE 200, SAINT LOUIS, MO 63117-1851
(314) 645-6450
(314) 645-2560
Mailing address
12855 N 40 DR, SUITE 300, SAINT LOUIS, MO 63141-8666
(314) 880-6100
(314) 997-3248
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
R9E12
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202263620
—
MO
05
—
202263638
—
MO
Enumeration date
07/20/2005
Last updated
01/05/2009
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