Individual
DR. LAURA ELLEN KILGORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2724 BRAVE RIFLES REGIMENT ROAD, HQ USA DENTAL ACTIVITY, FORT KNOX, KY 40121-5111
(800) 465-3203
Mailing address
9 COLONY WAY, GAS CITY, IN 46933-1253
(765) 674-4614
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007127A
IN
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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