Individual
DR. WILLIAM TOMMY KILGORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1785 W LEE HWY, WYTHEVILLE, VA 24382-1437
(276) 228-3355
(276) 228-6665
Mailing address
PO BOX 652, WYTHEVILLE, VA 24382-0652
(276) 228-3355
(276) 228-6665
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101035671
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010027306
—
VA
Enumeration date
06/13/2005
Last updated
07/06/2010
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