Individual
JACK ELDON KILGORE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2201 CHILDRENS WAY STE 1221, NASHVILLE, TN 37212-3164
(615) 322-0738
Mailing address
2201 CHILDRENS WAY STE 1318, NASHVILLE, TN 37212-3164
(615) 322-0738
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/12/2022
Last updated
02/26/2026
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