Individual
LARRY C KILGORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1926 ALCOA HWY STE 370, KNOXVILLE, TN 37920-1552
(865) 305-5622
Mailing address
1926 ALCOA HWY STE 370, KNOXVILLE, TN 37920-1552
(865) 305-5622
(865) 305-4580
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
09758
AL
207VX0201X
Gynecologic Oncology Physician
Primary
43047
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103I988131
—
TN
05
—
1515517
—
TN
Enumeration date
05/11/2006
Last updated
05/02/2024
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