Individual
GENA R KILGORE-WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBA
Contact information
Practice address
5095 ELVIS PRESLEY BLVD, MEMPHIS, TN 38116-8211
(901) 396-4659
(901) 346-8113
Mailing address
5095 ELVIS PRESLEY BLVD, MEMPHIS, TN 38116-8211
(901) 396-4659
(901) 346-8113
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/10/2010
Last updated
09/10/2010
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