Individual
KENNETH W. KILGORE
Active
Individual
KENNETH W. KILGORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
SC004716-L
PA
213ER0200X
Radiology Podiatrist
SC004716-L
PA
213ES0131X
Foot Surgery Podiatrist
Primary
SC004716-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0477086001
PIN FOR CIGNA
PA
01
—
13162415
PIN FOR WASAU
PA
01
—
1410834
PIN FOR HIGHMARK
PA
01
—
2102717
PIN FOR MAMSI
PA
01
—
2280961
IMPIN FOR UNITEDHEALTHCAR
PA
01
—
50007507
PIN FOR CAP BLUE CROSS
PA
Enumeration date
07/15/2006
Last updated
01/17/2008
Update your record
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