Kilgore, Charles J

Kilgore, Charles J is an individual health care provider with primary practice located at 940 Holly St , Orangeburg SC 29115-4930. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kilgore, Charles J can be contacted via phone (803) 536-2725.

Contact Information

Primary practice address
940 Holly St Orangeburg SC 29115-4930
Phone: (803) 536-2725
Fax: (803) 534-3118
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 10325 South Carolina

Profile Details

NPI number 1972523355
LBN Legal business name Kilgore, Charles J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Apr 30th, 2015 - about 10 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 1972523355 NPPES
South Carolina Other 5056289 AETNA
South Carolina Other 0924351 AETNA
South Carolina MEDICAID 103257 AETNA
South Carolina Other 20065759 AETNA
South Carolina Other 225643 AETNA

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