Individual
JAMES KILGORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
80117
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0113714
—
MS
01
—
P00124686
RAILROAD MEDICARE
MS
Enumeration date
06/02/2005
Last updated
11/11/2008
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