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Individual

JAMES KILGORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
116 LAWRENCE DR, STE 2, COLUMBUS, MS 39702-5319
(662) 327-8910
Mailing address
PO BOX 2763, COLUMBUS, MS 39704-2763
(662) 327-8910

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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