Individual
MARK DUANE KILGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0101241086
VA
2084P0800X
Psychiatry Physician
Primary
14995
SC
2084P0800X
Psychiatry Physician
MD36657
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4106719
BCBS
TN
01
—
TN01BE
JOHN DEERE
TN
Enumeration date
04/26/2006
Last updated
03/12/2025
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