Individual
TERRY LYNN KILGORE
Active
Individual
TERRY LYNN KILGORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
F8919
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100223450A
—
OK
05
—
100247902
—
TX
01
—
OOTK44
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/20/2005
Last updated
08/18/2008
Update your record
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