Individual
DR. MARY FREKKO KILAVOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0062800
MD
207R00000X
Internal Medicine Physician
MD046987
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
492066
MEDICARE
MD
Enumeration date
02/20/2006
Last updated
04/21/2025
Update your record
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