Kilgore, Shannon Michelle
Kilgore, Shannon Michelle is an individual health care provider with primary practice located at 3801 Miranda Ave Mc 127, Palo Alto CA 94304-1207. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Kilgore, Shannon Michelle can be contacted via phone (650) 493-5000.Contact Information
Primary practice address
3801 Miranda Ave Mc 127
Palo Alto CA 94304-1207
Phone: (650) 493-5000
Fax: (650) 858-3999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | A67639 | California |
Profile Details
| NPI number | 1366485849 |
|---|---|
| LBN Legal business name | Kilgore, Shannon Michelle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Nov 17th, 2008 - about 16 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 | 1366485849 | NPPES |
| California | Other | 00A676390 | MEDI-CAL PIN |
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