Individual
DR. ABBY C. KILGORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2005021611
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200726
BLUE CROSS BLUE SHIELD MO
—
01
—
2551322
UNITED HEALTHCARE
—
05
—
317412401
—
MO
05
—
317412419
—
MO
01
—
32573
OPTICARE MED. COMPLETE
—
01
—
58747
HEALTHCARE USA
MO
01
—
715396
HEALTHLINK
—
01
—
MO1611
EYEMED
—
01
—
UNKNOWN
GROUP HEALTH PLAN
—
Enumeration date
03/14/2006
Last updated
12/26/2011
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