Organization
KATHERINE L KILCOLLIN, DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE L KILCOLLIN D.D.S. (OWNER)
(304) 772-3333
Entity
Organization
Contact information
Practice address
247 HEALTH CENTER DRIVE, UNION, WV 24983
(304) 772-3333
(304) 772-3512
Mailing address
PO BOX 618, UNION, WV 24983
(304) 772-3333
(304) 772-3512
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2092
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0135408000
—
WV
Enumeration date
07/14/2009
Last updated
12/23/2014
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