Individual
DR. SHANNON MICHELLE KILGORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3801 MIRANDA AVE, MC 127, PALO ALTO, CA 94304-1207
(650) 493-5000
(650) 858-3999
Mailing address
3801 MIRANDA AVE, MC 127, PALO ALTO, CA 94304-1207
(650) 493-5000
(650) 858-3999
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A67639
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A676390
MEDI-CAL PIN
CA
Enumeration date
06/13/2006
Last updated
11/17/2008
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