Individual
CHARLES KILPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
815 S WASHINGTON AVE, SUITE 303, MARSHALL, TX 75670-5369
(903) 927-6950
(903) 927-6954
Mailing address
PO BOX 1325, MARSHALL, TX 75671-1325
(903) 927-6950
(903) 927-6954
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
H8706
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114640902
—
TX
Enumeration date
11/30/2005
Last updated
01/10/2013
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