Individual
TIMOTHY JOSEPH CHILCOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204-4004
(913) 676-2218
Mailing address
8825 NORWOOD DR, LEAWOOD, KS 66206-1625
(312) 848-0916
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
04-33693
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200616970A
—
KS
05
—
200616970B
—
KS
01
—
P00738048
RR MEDICARE GROUP CG8899
KS
Enumeration date
07/11/2006
Last updated
06/30/2021
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