Kilgore, Larry C
Kilgore, Larry C is an sole proprietor health care provider with primary practice located at 1926 Alcoa Hwy Ste 370 , Knoxville TN 37920-1552. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Kilgore, Larry C can be contacted via phone (865) 305-5622.Contact Information
Primary practice address
1926 Alcoa Hwy Ste 370
Knoxville TN 37920-1552
Phone: (865) 305-5622
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | 09758 | Alabama |
Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | 43047 | Tennessee |
Profile Details
NPI number | 1265482921 |
---|---|
LBN Legal business name | Kilgore, Larry C |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 11th, 2006 |
Last updated | May 2nd, 2024 - about 6 months 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 | 1265482921 | NPPES |
Tennessee | MEDICAID | 103I988131 | |
Tennessee | MEDICAID | 1515517 |
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