Individual
CLAYTON KILGORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
208 SUNCREST ST UNIT 1, GRAY, TN 37615
(423) 477-3847
(423) 477-4392
Mailing address
208 SUNCREST ST UNIT 1, GRAY, TN 37615-3494
(423) 477-3847
(423) 477-4392
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
38604
TN
Other
Enumeration date
02/13/2018
Last updated
07/24/2018
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