Killgoar, Christina Moore

Killgoar, Christina Moore is an individual health care provider with primary practice located at 501 6Th Ave S , St Petersburg FL 33701-4634. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Killgoar, Christina Moore can be contacted via phone (727) 767-4243.

Contact Information

Primary practice address
501 6Th Ave S St Petersburg FL 33701-4634
Fax: (727) 767-8612
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME102202 Florida
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME102202 Florida

Profile Details

NPI number 1720015662
LBN Legal business name Killgoar, Christina Moore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Mar 3rd, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720015662 NPPES
Florida Other 492955 STAYWELL/HEALTHEASE
Florida Other 7858470 STAYWELL/HEALTHEASE
Florida MEDICAID N01395 STAYWELL/HEALTHEASE
Florida Other 324589 STAYWELL/HEALTHEASE
Florida MEDICAID 890134NO STAYWELL/HEALTHEASE
Florida MEDICAID 000249800 STAYWELL/HEALTHEASE
Florida Other 0592866 STAYWELL/HEALTHEASE

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