Kilgore, Abby C.
Kilgore, Abby C. is an individual health care provider with primary practice located at 1950 Wentzville Pkwy , Wentzville MO 63385-3453. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kilgore, Abby C. can be contacted via phone (314) 994-4399.Contact Information
Primary practice address
1950 Wentzville Pkwy
Wentzville MO 63385-3453
Phone: (314) 994-4399
Fax: (800) 432-6004
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 2005021611 | Missouri |
Profile Details
NPI number | 1699744656 |
---|---|
LBN Legal business name | Kilgore, Abby C. |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 14th, 2006 |
Last updated | Dec 26th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1699744656 | NPPES |
Other | 2551322 | UNITED HEALTHCARE | |
Other | 715396 | UNITED HEALTHCARE | |
Other | 200726 | UNITED HEALTHCARE | |
Other | UNKNOWN | UNITED HEALTHCARE | |
Other | 32573 | UNITED HEALTHCARE | |
Other | MO1611 | UNITED HEALTHCARE | |
Other | UNKNOWN | UNITED HEALTHCARE | |
Other | UNKNOWN | UNITED HEALTHCARE | |
MEDICAID | 317412401 | UNITED HEALTHCARE | |
MEDICAID | 317412419 | UNITED HEALTHCARE | |
Other | 58747 | UNITED HEALTHCARE |
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