Individual
DOUGLAS F KILGORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
7150 VALLEY CREEK PLZ STE 216, WOODBURY, MN 55125-2271
(651) 738-4886
(651) 738-3744
Mailing address
7150 VALLEY CREEK PLZ STE 216, WOODBURY, MN 55125-2271
(651) 738-4886
(651) 738-3744
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2314000
MN
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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