Individual
MANLEY W KILGORE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
836 PRUDENTIAL DR, SUITE 1601, JACKSONVILLE, FL 32207-8334
(904) 396-2400
(904) 396-3750
Mailing address
836 PRUDENTIAL DR, SUITE 1601, JACKSONVILLE, FL 32207-8334
(904) 396-2400
(904) 396-3750
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME17133
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16947
BLUE CROSS BLUE SHEILD
FL
Enumeration date
02/01/2007
Last updated
07/08/2007
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