Individual
DR. KIM N PILKINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2825 S GLENSTONE AVE, SUITE 113 BATTLEFIELD MALL, SPRINGFIELD, MO 65804-3732
(417) 887-6883
(417) 887-6884
Mailing address
2825 S GLENSTONE AVE, SUITE 113 BATTLEFIELD MALL, SPRINGFIELD, MO 65804-3732
(417) 887-6883
(417) 887-6884
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO2699
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730370305
GROUP NPI SPRINGFIELD EYECARE, LLC
MO
Enumeration date
11/16/2006
Last updated
05/05/2009
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